Individual
ERIKA MELLO SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-1000
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
249086
MA
Other
Enumeration date
07/02/2007
Last updated
07/11/2011
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