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Individual

DR. JENNY MATTINA TEMPS

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
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 595-2700
(774) 221-5136

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
268635
MA
207P00000X
Emergency Medicine Physician
60245880
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02914510
NY
05
110118087A
MA
Enumeration date
08/31/2007
Last updated
07/21/2022
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