Individual
GENEVA D MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1975
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
281497
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110128106A
—
MA
Enumeration date
06/18/2017
Last updated
06/14/2023
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