Organization
HEALTH AWARENESS SERVICES OF CENTRAL MA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MAZLOFF (EXECUTIVE DIRECTOR)
(508) 756-7123
Entity
Organization
Contact information
Practice address
50 ELM ST, SOUTHBRIDGE, MA 01550-2648
(508) 765-5929
Mailing address
405 GROVE ST, WORCESTER, MA 01605-1270
(509) 756-7123
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9749497
—
MA
Enumeration date
07/28/2008
Last updated
07/28/2008
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