Individual
DR. PHILIP J. LAHEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
59 QUINSIGAMOND AVE, WORCESTER, MA 01610-1806
(508) 755-1559
(508) 755-5640
Mailing address
59 QUINSIGAMOND AVE, WORCESTER, MA 01610-1806
(508) 755-1559
(508) 755-5640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065908
—
MA
Enumeration date
12/13/2005
Last updated
01/11/2012
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