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Organization
WEBSTER SQUARE MEDICAL CENTER, INC
Active
Organization
WEBSTER SQUARE MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER KEATON GOLJAN M.D. (PRESIDENT)
(508) 755-9776
Entity
Organization
Contact information
Practice address
255 PARK AVE, SUITE 400, WORCESTER, MA 01609-1953
(508) 755-9776
(508) 793-0715
Mailing address
255 PARK AVE, SUITE 400, WORCESTER, MA 01609-1953
(508) 755-9776
(508) 793-0715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9768939
—
MA
05
—
Z096803
—
MA
Enumeration date
05/25/2007
Last updated
02/21/2012
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