Individual
MS. ENITH MENDEZ-RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
189 MAY STREET, WORCESTER, MA 01602
(508) 791-6351
(508) 753-2087
Mailing address
PO BOX 391, WILBRAHAM, MA 01095-0391
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1841
MA
Other
Enumeration date
02/09/2006
Last updated
07/29/2016
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