Individual
MR. ARDIT ISLAMAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 S LENOX ST, WORCESTER, MA 01602-2522
(508) 340-2129
Mailing address
38 S LENOX ST, WORCESTER, MA 01602-2522
(508) 340-2129
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S84690575
MA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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