Organization
UMASS MEMORIAL MEDICAL GROUP, INC.
Active
Parent organization
UMASS MEMORIAL MEDICAL GROUP, INC.
Other names
UMss Memorial IVF Center
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
33 KENDALL STREET, LEVINE 2, WORCESTER, MA 01605-2726
(508) 334-6910
Mailing address
281 LINCOLN STREET, PROVIDER ENROLLMENT, WORCESTER, MA 01605-2138
(508) 334-8890
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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