Individual
RAUL E DAVARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 SUMMER STREET SUITE 220 S, WORCESTER, MA 01608-2903
(508) 368-3122
(508) 368-3123
Mailing address
630 PLANTATION STREET WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 368-3122
(508) 368-3123
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
79089
MA
207RI0200X
Infectious Disease Physician
Primary
MD478859
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3172864
—
MA
Enumeration date
11/29/2005
Last updated
10/05/2022
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