Individual
SUSAN M. MUGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 852-0600
(508) 853-7149
Mailing address
630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 368-5532
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN178372
MA
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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