Organization
EASTERN & WESTERN MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F CONDON MD (VICE PRESIDENT)
(508) 992-3200
Entity
Organization
Contact information
Practice address
381 PARK AVE, WORCESTER, MA 01610-1026
(508) 792-3200
(508) 792-0400
Mailing address
381 PARK AVE, WORCESTER, MA 01610-1026
(508) 792-3200
(508) 792-0400
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
244839
MA
171100000X
Acupuncturist
DA00362
RI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
236197
MA
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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