Individual
KLAJDI KOSOVRASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 LINCOLN ST, WORCESTER, MA 01605-1916
(774) 420-2111
Mailing address
500 LINCOLN ST, WORCESTER, MA 01605-1916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7920
MA
Other
Enumeration date
01/09/2020
Last updated
06/29/2021
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