Organization
DEFIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA J. JOHNSON (PRESIDENT)
(508) 752-1304
Entity
Organization
Contact information
Practice address
33 OAK AVE, WORCESTER, MA 01605-2752
(508) 752-1304
(508) 752-4603
Mailing address
33 OAK AVE, WORCESTER, MA 01605-2752
(508) 752-1304
(508) 752-4603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9731521
—
MA
Enumeration date
08/21/2006
Last updated
06/28/2013
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