Individual
MADELEINE R FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 N LAKE AVE, WORCESTER, MA 01605-2047
(508) 595-2855
(508) 595-2602
Mailing address
630 PLANTATION ST, WOT 12TH FL ATTN PHYSICIAN SERVICES, WORCESTER, MA 01605-2038
(508) 368-5529
(508) 368-5530
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
48500
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
HEALTHCARE VALUE MANAGEME
—
01
—
1592180
CIGNA HEALTH PLAN
—
01
—
26807
CHILDRENS MEDICAL SECURIT
—
01
—
3099407
WELFARE
—
01
—
3300063
EVERCARE
—
01
—
5180602
AETNA US HEALTHCARE
—
01
—
784017
MVP HEALTH CARE
—
01
—
917696
FIRST HEALTH
—
01
—
9900106
FALLON COMMUNITY HEALTH
—
01
—
AA4451
HARVARD PILGRIM HEALTHCAR
—
01
—
J04439
BLUE SHIELD HMO BLUE
—
Enumeration date
11/02/2005
Last updated
01/26/2012
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