# WORCESTER ATHLETIC CLUB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Worcester Fitness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538639869
- **Authorized official:** ANDREA SHLIAPA (OWNER)
- **Authorized official phone:** (508) 852-8209

## Contact information

- **Practice address:** 440 GROVE ST, WORCESTER, MA 01605-1268
- **Practice address phone:** (508) 852-8209
- **Mailing address:** 440 GROVE ST, WORCESTER, MA 01605-1268
- **Mailing address phone:** (508) 852-8209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2018
- **Last updated:** 11/29/2018