Individual
DR. BRIAN R SZETELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PSYCHIATRY, WORCESTER, MA 01655-0002
(508) 856-6580
(508) 856-6426
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
48859
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110065264A
—
MA
05
—
6186777
—
MA
Enumeration date
11/16/2005
Last updated
12/08/2020
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