# CENTRAL EAR NOSE & THROAT ASSOC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central ENT Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689668915
- **Authorized official:** DR. JEFFREY R FINE (PRESIDENT / CO-OWNER)
- **Authorized official phone:** (508) 755-3161

## Contact information

- **Practice address:** 295 LINCOLN ST, SUITE 101, WORCESTER, MA 01605-3639
- **Practice address phone:** (508) 755-3161
- **Mailing address:** 295 LINCOLN ST, SUITE 101, WORCESTER, MA 01605-3639
- **Mailing address phone:** (508) 755-3161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | MA35665 | MA | Yes |

## Other

- **Enumeration date:** 09/01/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2626263 | — | MA |