Organization
INTERNAL MEDICINE AND ENDOCRINOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL LOCK M.D. (MEDICAL DIRECTOR)
(508) 754-8000
Entity
Organization
Contact information
Practice address
255 PARK AVE, SUITE 210, WORCESTER, MA 01609-1953
(508) 754-8000
(508) 752-8286
Mailing address
255 PARK AVE, SUITE 210, WORCESTER, MA 01609-1953
(508) 754-8000
(508) 752-8286
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35925
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055643
—
MA
Enumeration date
08/06/2008
Last updated
08/06/2008
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