Individual
KELLY PAGIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 KENDALL ST, WORCESTER, MA 01605
(508) 334-1345
(508) 334-9847
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
203312
MA
207VE0102X
Reproductive Endocrinology Physician
MD9920
RI
Other
Enumeration date
07/09/2006
Last updated
08/17/2018
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