Individual
COLLEEN DIBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
05/19/2021
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