Individual
LESTER P MIETKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
367 PLANTATION ST, WORCESTER, MA 01605-2323
(508) 334-1448
(508) 334-1443
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49809
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400875
EVERCARE
—
01
—
042472266
ONE HEALTH PLAN
—
01
—
043058466
HEALTHCARE VALUE MANAGEME
—
01
—
28035
HEALTHY START
—
01
—
4034906
AETNA US HEALTHCARE
—
05
—
6180493
—
MA
01
—
784252
MVP HEALTH CARE
—
01
—
8239846
CIGNA HEALTH PLAN
—
01
—
934972
FIRST HEALTH
—
01
—
9900029
FALLON COMMUNITY HEALTH
—
01
—
AA1293
HARVARD PILGRIM HEALTHCAR
—
01
—
J02901
BLUE SHIELD INDEMNITY
—
Enumeration date
02/21/2006
Last updated
08/03/2021
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