Organization
PROFESSIONAL MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRZYSTOF KACPRZAK (PRESIDENT)
(413) 446-8626
Entity
Organization
Contact information
Practice address
65 MILTON ST, WORCESTER, MA 01606-2819
(413) 446-8626
(413) 446-8626
Mailing address
65 MILTON ST, WORCESTER, MA 01606-2819
(413) 446-6826
(413) 446-8626
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
223405
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
MA
Enumeration date
12/12/2016
Last updated
12/12/2016
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