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WOMEN'S HEALTH OF CENTRAL MA. PC NPI 1669567616


NPI Information

NPI: 1669567616
Provider Name: WOMEN'S HEALTH OF CENTRAL MA. PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 22D2201759

Address:
328 SHREWSBURY ST
STE 100
WORCESTER, MA
ZIP 01604
Phone: (508) 755-4861
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WOMEN'S HEALTH OF CENTRAL MA. PC is an obstetrics gynecology in Worcester, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WOMEN'S HEALTH OF CENTRAL MA. PC NPI is 1669567616. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

328 SHREWSBURY ST
STE 100
WORCESTER, MA
ZIP 01604-613
Phone: (508) 755-4861

The provider's authorized official is Janet Bergeron .
The authorized official title is Group and has the following contact phone number (508) 755-4861.

The CLIA number assigned to this NPI record is 22D2201759 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 11/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M17958OTHERMASSACHUSETTSBLUE CROSS BLUE SHEILD
2691534OTHERMASSACHUSETTSTUFTS
3M21095MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
49712828MEDICAIDMASSACHUSETTS
553149OTHERMASSACHUSETTSFALLON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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