Organization
NANCY D. BERUBE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY D. BERUBE M.D. (PRESIDENT)
(508) 756-0514
Entity
Organization
Contact information
Practice address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(508) 756-0514
(508) 756-0843
Mailing address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(508) 756-0514
(508) 756-0843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57314
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9728210
—
MA
Enumeration date
08/30/2006
Last updated
08/22/2020
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