Individual
CODY ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 FOSTER ST, WORCESTER, MA 01608-1715
(508) 373-5607
Mailing address
19 FOSTER ST, WORCESTER, MA 01608-1715
(508) 373-5607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
02/17/2026
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