Individual
NANCY D. BERUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(508) 756-0514
(508) 756-0843
Mailing address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(508) 756-0514
(508) 756-0843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57314
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002515
—
MA
Enumeration date
02/02/2006
Last updated
01/24/2013
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