Individual
WALTER J ZAWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-8934
(508) 334-5248
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
262962
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073126A
—
MA
Enumeration date
10/04/2006
Last updated
06/01/2021
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