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Individual

DR. THOMAS E UKENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
123 SUMMER ST, WORCESTER, MA 01608-1200
(508) 363-6121
(508) 363-6043
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1200
(508) 363-6121
(508) 363-6043

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
50929
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3040208
MA
Enumeration date
03/23/2006
Last updated
07/09/2007
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