Individual
JUDITH A MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 UNION ST, WESTBOROUGH, MA 01581-5408
(508) 871-0700
(508) 616-4411
Mailing address
630 PLANTATION STREET, WORCESTER, MA 01605
(508) 871-0700
(508) 616-4411
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
76652
MA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
76652
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
1060988
FIRST HEALTH
—
05
—
110052917A
—
MA
01
—
28030
HEALTHY START
—
01
—
3212073
CIGNA HEALTH PLAN
—
01
—
406954
TUFTS HEALTH PLAN
—
01
—
5070604
AETNA US HEALTHCARE
—
01
—
784221
MVP HEALTH CARE
—
01
—
9901002
FALLON COMMUNITY HEALTH
—
01
—
AA6366
HARVARD PILGRIM HLTHCARE
—
01
—
J13545
BLUE CARE ELECT
—
Enumeration date
05/24/2006
Last updated
03/17/2018
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