Individual
GEEDA M MADDALENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-8515
Mailing address
PO BOX 415348, BOSTON, MA 02241-5438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
282419
MA
Other
Enumeration date
06/20/2017
Last updated
11/03/2020
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