# MARK A. AVERSA MD PC

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

## Provider details

- **NPI number:** 1427091784
- **Authorized official:** DEBRA AVERSA (OFFICE MANAGER)
- **Authorized official phone:** (508) 791-4300

## Contact information

- **Practice address:** 116 BELMONT ST, WORCESTER, MA 01605-2964
- **Practice address phone:** (508) 791-4300
- **Mailing address:** 116 BELMONT ST, WORCESTER, MA 01605-2964
- **Mailing address phone:** (508) 791-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 02/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9713051 | — | MA |