Individual
JARED G. DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2349178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110170778A
—
MA
Enumeration date
11/16/2020
Last updated
04/21/2021
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