Individual
MICHAEL KAZZAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 PARK AVE, WORCESTER, MA 01610-1025
(508) 792-3866
Mailing address
400 PARK AVE, WORCESTER, MA 01610-1025
(508) 792-3866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH235367
MA
183500000X
Pharmacist
R2577
NH
Other
Enumeration date
06/29/2016
Last updated
11/27/2020
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