Individual
JAYSON HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 831-0045
(508) 831-0074
Mailing address
10 MECHANIC ST STE 302, WORCESTER, MA 01608-2419
(508) 792-5400
(508) 831-0074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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