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MR. RICHARD HALL RESSIJAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
119 BELMONT ST, HOSPITAL MEDICINE, WORCESTER, MA 01605-2903
(508) 334-8515
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
160079
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0716022
MA
Enumeration date
05/10/2006
Last updated
12/08/2009
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