Individual
MARIE A. KIERAS-SKIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054175
CT
208000000X
Pediatrics Physician
054175
CT
208000000X
Pediatrics Physician
248625
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
54175
CT
Other
Enumeration date
06/18/2011
Last updated
07/02/2015
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