Organization
WOMEN'S HEALTH OF CENTRAL MA. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET BERGERON (GROUP)
(508) 755-4861
Entity
Organization
Contact information
Practice address
328 SHREWSBURY ST, STE 100, WORCESTER, MA 01604-4613
(508) 755-4861
Mailing address
328 SHREWSBURY ST, STE 100, WORCESTER, MA 01604-4613
(508) 755-4861
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53149
FALLON
MA
01
—
691534
TUFTS
MA
05
—
9712828
—
MA
01
—
M17958
BLUE CROSS BLUE SHEILD
MA
Enumeration date
10/04/2006
Last updated
11/30/2016
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