Individual
MASOOMA REHMTULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
366 SHREWSBURY ST, WORCESTER, MA 01604-4647
(508) 595-2700
(774) 221-5136
Mailing address
5 NEPONSET ST, WOT 2ND FL, STE C203, WORCESTER, MA 01606-2714
(508) 595-2700
(774) 221-5136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
277030
MA
207R00000X
Internal Medicine Physician
MD14596
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110139635A
—
MA
05
—
MR98955
—
RI
Enumeration date
07/10/2011
Last updated
10/17/2019
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