Organization
ASSOCIATES IN OTOLARYNGOLOGY HEAD & NECK SURGERY PC
Active
Other names
Surgical Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH E WITOWSKI R.N. (ADMINISTRATOR)
(508) 797-0330
Entity
Organization
Contact information
Practice address
48 ELM ST, WORCESTER, MA 01609-2541
(508) 797-0330
(508) 797-3883
Mailing address
48 ELM ST, WORCESTER, MA 01609-2541
(508) 797-0330
(508) 797-3883
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4PS2
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620558
TUFTS HEALTH CARE
MA
01
—
67157
FALLON HEALTH PLAN
MA
01
—
904072
HARVARD PILGRIM HEALTH CA
MA
01
—
M88029
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/27/2005
Last updated
08/22/2020
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