Organization
UMASS MEMORIAL MEDICAL GROUP, INC.
Active
Parent organization
UMASS MEMORIAL MEDICAL GROUP, INC.
Other names
UMMMG - Radiation Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UMASS MEMORIAL MEDICAL GROUP, INC.
Authorized official
DEBRA M WOOLDRIDGE (SUPERVISOR PROVIDER ENROLLMENT)
(508) 334-8890
Entity
Organization
Contact information
Practice address
70 EAST ST, METHUEN, MA 01844-4597
(978) 687-0151
Mailing address
281 LINCOLN STREET, PROVIDER ENROLLMENT, WORCESTER, MA 02241-2138
(508) 334-8890
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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