Organization
UMASS MEMORIAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE STREETER (MANAGER)
(508) 334-0311
Entity
Organization
Contact information
Practice address
55 LAKE AVE NORTH, WORCESTER, MA 01655
(774) 443-7552
Mailing address
55 LAKE AVE NORTH, WORCESTER, MA 01655
(774) 443-7552
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
178349
MA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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