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Individual

DR. MIGUEL OLMEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
403 BELMONT ST, WORCESTER, MA 01604-1019
(508) 425-2500
Mailing address
605 LINCOLN ST, WORCESTER, MA 01605-1901
(508) 856-0104

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
212377
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1300709
MA
01
NP3358
BLUE CROSS BLUE SHIELD
MA
01
Y10141
GROUP #
MA
Enumeration date
08/12/2006
Last updated
09/29/2025
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