Individual
JEREMY MALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 870-7770
Mailing address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 870-7770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2289275
MA
Other
Enumeration date
12/06/2013
Last updated
10/02/2015
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