Individual
JAMES MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 MERRICK ST, WORCESTER, MA 01609-1937
(508) 797-6102
(508) 797-0696
Mailing address
105 MERRICK ST, WORCESTER, MA 01609-1937
(508) 797-6102
(508) 797-0696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y10400
MEDICARE PTAN
MA
Enumeration date
11/18/2014
Last updated
11/18/2014
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