Organization
VITREO-RETINAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUNDREA BORELLI (PRACTICE MANAGER)
(508) 752-1155
Entity
Organization
Contact information
Practice address
67 BELMONT ST STE 302, WORCESTER, MA 01605-2608
(508) 752-1155
(508) 752-4862
Mailing address
67 BELMONT ST STE 302, WORCESTER, MA 01605-2608
(508) 752-1155
(508) 752-4862
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013345
MEDICARE PTAN
MA
05
—
110068662A
—
MA
01
—
M19742
BC/BS GROUP NUMBER
MA
Enumeration date
07/01/2009
Last updated
09/03/2025
Update your record
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