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Individual

KRISTIN M LARAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-8080
(774) 441-8054
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
260176
MA
2080P0202X
Pediatric Cardiology Physician
Primary
260176
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110085892A
MA
Enumeration date
06/01/2007
Last updated
05/06/2025
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