Organization
WORCESTER PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMIAN G MOUSAD MD (OWNER)
(508) 904-9026
Entity
Organization
Contact information
Practice address
116 BELMONT ST RM 34, WORCESTER, MA 01605
(508) 904-9026
Mailing address
1 CARLISLE TER, NATICK, MA 01760-2060
(508) 904-9026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/28/2018
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