Individual
VANESSA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SUMMER ST, SUITE 521, WORCESTER, MA 01608-1216
(508) 852-0600
(508) 368-3146
Mailing address
630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 368-5532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5634
MA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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