Individual
MRS. JESSICA L. BABYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 LAKE AVENUE NORTH, WORCESTER, MA 01655
(774) 443-7552
Mailing address
PO BOX 415348, BOSTON, MA 02241
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4162
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110106041A
—
MA
Enumeration date
09/21/2007
Last updated
06/26/2023
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