Organization
ASSOCIATES IN OTOLARYNGOLOGY HEAD AND NECK SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA CHIARAMONTE MD (PRESIDENT)
(508) 757-0330
Entity
Organization
Contact information
Practice address
100 MLK JR BLVD STE 4, WORCESTER, MA 01608-1209
(508) 757-0330
(508) 752-9850
Mailing address
100 MLK JR BLVD STE 4, WORCESTER, MA 01608-1209
(508) 757-0330
(508) 754-9426
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9750495
—
MA
01
—
ASM14420
BLUE CROSS
MA
Enumeration date
03/19/2007
Last updated
03/28/2018
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