Individual
DR. DEBRA A TWEHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
189 MAY STREET, WORCESTER, MA 01602-4339
(508) 791-6351
(508) 753-2087
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
79135
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
79135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110054348A
—
MA
05
—
3123855
—
MA
Enumeration date
01/20/2006
Last updated
10/29/2020
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