Individual
KAITLYN OLDEWURTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
67 BELMONT ST, WORCESTER, MA 01605-2657
(508) 334-8195
(508) 334-8130
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
1019739
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2019
Last updated
06/17/2024
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