Organization
CENTRAL MASS ORAL AND MAXILLOFACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMINE A. COLARUSSO D.M.D. (PRESIDENT)
(978) 534-8300
Entity
Organization
Contact information
Practice address
2 JUNGLE RD, LEOMINSTER, MA 01453
(978) 534-8300
Mailing address
2 JUNGLE RD, LEOMINSTER, MA 01453-5208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
08/10/2018
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