Individual
LARRY NIS MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9 CRESCENT ST, WEST BOYLSTON, MA 01583-1309
(508) 835-6221
(508) 835-4859
Mailing address
9 CRESCENT ST, WEST BOYLSTON, MA 01583-1309
(508) 835-6221
(508) 835-4859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72256
MA
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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