Individual
ANTHONY C TABACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 LAKE AVE N, STE 101, WORCESTER, MA 01605-2047
(508) 753-3220
(508) 753-3224
Mailing address
425 LAKE AVE N, STE 101, WORCESTER, MA 01605-2047
(508) 753-3220
(508) 753-3224
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
77796
MA
Other
Enumeration date
05/02/2006
Last updated
11/27/2019
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