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Individual

JOHN WORDEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 GREEN ST, GARDNER, MA 01440-1396
(978) 630-6445
(978) 630-3603
Mailing address
250 GREEN ST, GARDNER, MA 01440-1396
(978) 630-6445
(978) 630-3603

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158996
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3196801
MA
Enumeration date
11/16/2005
Last updated
07/08/2007
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