Organization
CENTRAL EAR NOSE & THROAT ASSOC PC
Active
Other names
Central ENT Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R FINE (PRESIDENT / CO-OWNER)
(508) 755-3161
Entity
Organization
Contact information
Practice address
295 LINCOLN ST, SUITE 101, WORCESTER, MA 01605-3639
(508) 755-3161
Mailing address
295 LINCOLN ST, SUITE 101, WORCESTER, MA 01605-3639
(508) 755-3161
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MA35665
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2626263
—
MA
Enumeration date
09/01/2005
Last updated
08/22/2020
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