Individual
DR. MARITZA J JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3206
(774) 442-4668
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
266020-1
NY
207Q00000X
Family Medicine Physician
Primary
78284
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
1023729
MA
Other
Enumeration date
07/27/2012
Last updated
06/18/2026
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