Organization
ELECTRA HEALTH MEDICAL MASS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNINE VERSI (COO)
(646) 760-6669
Entity
Organization
Contact information
Practice address
198 CHARLTON RD, STURBRIDGE, MA 01566-1571
(646) 760-6669
Mailing address
228 PARK AVE S PMB 49409, NEW YORK, NY 10003-1502
(202) 524-8706
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
04/15/2024
Last updated
11/18/2024
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