Individual
MARYLU GARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 852-0600
(508) 853-7149
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 852-0600
(508) 853-7149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
130676
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04247226
ONE HEALTH PLAN
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
380001263
RAILROAD MEDICARE
—
01
—
57607
FALLON COMMUNITY HEALTH P
—
01
—
8300304
EVERCARE
—
01
—
AA3452
HARVARD PILGRIM HEALTHCAR
—
01
—
NP0782
MEDICARE B
—
Enumeration date
01/30/2006
Last updated
05/08/2013
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