Individual
MARIAM LARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UMASS MEMORIAL CHILDREN'S MED. CTR., 55 LAKE AVENUE NORTH, WORCESTER, MA 01655
(508) 856-3590
Mailing address
376 COBURN AVE, WORCESTER, MA 01604-1221
(508) 856-3590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
230214
MA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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