Individual
ELIZABETH JOAN DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-4161
(508) 856-6703
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7813
MA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
0110006146
VA
363AM0700X
Medical Physician Assistant
PA7813
MA
Other
Enumeration date
07/18/2018
Last updated
05/25/2021
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