Individual
BRENDA E HALLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 W BOYLSTON DR, WORCESTER, MA 01606-2726
(508) 853-6662
Mailing address
123 MILLWOOD ST, FRAMINGHAM, MA 01701-3775
(508) 853-6662
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
78152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3118371
—
MA
Enumeration date
07/11/2006
Last updated
06/11/2008
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