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CENTRAL MASS ALLERGY & ASTHMA CARE

Allergy

Worcester, Massachusetts

Provider NPI: 1093708927

Organization Information:
Organization Name:  CENTRAL MASS ALLERGY & ASTHMA CARE


Practice Location:
100 MLK JR BLVD 2ND FLOOR WORCESTER, MA 01608 US
Tel: 508-757-1589  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy

Other Provider Identifiers:

IssuerNumberStateType
BLUE SHIELD GROUP NUMBERM17542MA01
GROUP TAX ID NUMBER=========MA01
TUFTS HEALTH PLAN GROUP691549MA01
9751688MA05
NEIGHBORHOOD HEALTH GROUP0028926MA01
FALLON HEALTH PLAN GROUP57871MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




JOBS MA - Page 1

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