Organization
MERCY FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WORDEN M.D. (CFO)
(978) 632-6445
Entity
Organization
Contact information
Practice address
250 GREEN ST, SUITE 200, GARDNER, MA 01440-1396
(978) 632-6445
(978) 630-3603
Mailing address
250 GREEN ST, GARDNER, MA 01440-1396
(978) 632-6445
(978) 630-3603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110069347-A
—
MA
05
—
9732250
—
MA
Enumeration date
11/16/2005
Last updated
01/29/2013
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