Individual
REGINA ROBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 INSTITUTE RD, WORCESTER, MA 01609-2247
(508) 831-5520
(508) 831-5953
Mailing address
100 INSTITUTE RD, WORCESTER, MA 01609-2247
(508) 831-5520
(508) 831-5953
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
154005
MA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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