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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
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