Individual
PAUL THOMAS BRUEMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 421-1400
(508) 421-1490
Mailing address
525 LONG POND DR, HARWICH, MA 02645-1227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2319391
MA
363LA2100X
Acute Care Nurse Practitioner
RN2319391
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110171248A
—
MA
Enumeration date
10/27/2020
Last updated
04/22/2024
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