Individual
CODY MATTHEW DEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
10 WINTHROP ST STE 319, WORCESTER, MA 01604-4438
(508) 753-2240
Mailing address
10 OAKRIDGE DR, RUTLAND, MA 01543-1713
(508) 886-2129
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2316373
MA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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