Individual
DR. MACARIO CUDIAMAT CORPUZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 WORCESTER RD, BARRE, MA 01005-9099
(978) 355-6321
(978) 355-6549
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110865
—
MA
Enumeration date
06/24/2005
Last updated
06/09/2009
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