Individual
DR. ALWYN NONESUPPLIED RAPOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
123 SUMMER ST, SUITE 220 S, WORCESTER, MA 01608
(508) 368-3122
(508) 368-3121
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 368-3122
(508) 368-3121
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
220789
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215508
—
MA
01
—
2805580781
MYUTMB 2805580781-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
02/20/2009
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