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Individual

ANDREW MARTIN KUBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-8515
(508) 334-6490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9065
MA

Other

Enumeration date
07/16/2022
Last updated
02/03/2023
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