Organization
MARK A. AVERSA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA AVERSA (OFFICE MANAGER)
(508) 791-4300
Entity
Organization
Contact information
Practice address
116 BELMONT ST, WORCESTER, MA 01605-2964
(508) 791-4300
Mailing address
116 BELMONT ST, WORCESTER, MA 01605-2964
(508) 791-4300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9713051
—
MA
Enumeration date
06/14/2006
Last updated
02/20/2019
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