Individual
ARIELLE SARA GANEM-ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
1 DAYTON ST APT 12, WORCESTER, MA 01609-3037
(508) 612-2971
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2313159
MA
363L00000X
Nurse Practitioner
Primary
2313159
MA
Other
Enumeration date
05/31/2018
Last updated
11/19/2019
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