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Organization
UMASS MEMORIAL MEDICAL GROUP INC
Active
Organization
UMASS MEMORIAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN BRESEE-FERREIRA (SVP/COO)
(774) 442-1520
Entity
Organization
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
PO BOX 415348, ATTN: PROVIDER ENROLLMENT DEPARTMENT, BOSTON, MA 02241-5348
(508) 334-8015
(508) 334-8105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
204F00000X
Transplant Surgery Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000045A
—
MA
Enumeration date
04/07/2006
Last updated
12/22/2025
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