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Individual

ALBERT W DREXLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
425 NORTH LAKE AVE, WORCESTER, MA 01605
(508) 595-2513
(508) 854-0822
Mailing address
630 PLANTATION ST, WOT 12TH FLOOR ATTN PHYSICIAN SERVICES, WORCESTER, MA 01605
(508) 368-5529
(508) 368-5530

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8300401
EVERCARE
01
9900374
FALLON COMMUNITY HEALTH P
01
AP0284
BLUE SHIELD INDEMNITY
Enumeration date
01/10/2006
Last updated
07/08/2007
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