Individual
DR. MELINDA THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
48 ELM ST, WORCESTER, MA 01609-2541
(508) 757-0330
Mailing address
100 MLK JR BLVD STE 4, WORCESTER, MA 01608-1209
(508) 757-0330
(508) 752-9850
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
250085
MA
Other
Enumeration date
01/23/2009
Last updated
12/19/2017
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