# TVCG UM PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265196711
- **Authorized official:** DANIEL GORIN MD (PHYSICIAN)
- **Authorized official phone:** (508) 775-1984

## Contact information

- **Practice address:** 21 EASTERN AVE FL 3, WORCESTER, MA 01605-3094
- **Practice address phone:** (508) 556-0223
- **Mailing address:** 21 EASTERN AVE, FL 3, WORCESTER, MA 01605-3094
- **Mailing address phone:** (508) 556-0223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2021
- **Last updated:** 10/29/2021