Individual
ANNE C POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-2882
(774) 444-8045
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
236569
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080570A
—
MA
Enumeration date
01/24/2007
Last updated
03/31/2023
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