Individual
DR. MAYUR H PATHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. , M.B.B.S.
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6177
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
249242
MA
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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