Individual
MADELINE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
257166
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
257166
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110098669A
—
MA
01
—
S400327580
MEDICARE
MA
Enumeration date
06/18/2011
Last updated
11/10/2020
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