Central Mass Pediatric Gi & Nutrition, P.c.
Pediatrics, Pediatric Gastroenterology in Worcester, Massachusetts
1114195179- Practice location
- 123 Summer Street, Suite 630, Worcester, MA 01608
- Phone
- 508-363-7344
- Fax
- —
- Last updated
- February 13, 2008
Central Mass Pediatric Gi & Nutrition, P.c. is a healthcare organization based in Worcester, MA. Central Mass Pediatric Gi & Nutrition, P.c. practices in Worcester, MA. The NPI Number for Central Mass Pediatric Gi & Nutrition, P.c. is 1114195179 and holds a License No. 156574 (MA). The current practice location address for Central Mass Pediatric Gi & Nutrition, P.c. is 123 Summer Street, Suite 630, Worcester, MA 01608 and can be reached out via phone at 508-363-7344.
Provider Profile Details
- NPI Number
- 1114195179
- Provider Name
- Central Mass Pediatric Gi & Nutrition, P.c.
- Provider Entity Type
- Organization
- Address
- 123 Summer Street, Suite 630, Worcester, MA 01608
- Phone Number
- 508-363-7344
- Primary Taxonomy
- Pediatrics, Pediatric Gastroenterology · 2080P0206X
- Organization Subpart
- No
- Authorized Official
- Idris Dahod · President · 508-363-7344
- Provider Enumeration Date
- February 13, 2008
- Last Update Date
- February 13, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 Summer Street
Suite 630
Worcester, MA 01608 - City
- Worcester
- State
- Massachusetts
- Zip
- 01608
- Phone Number
- 508-363-7344
Provider Business Mailing Address Details
- Address
- Po Box 1025
Worcester, MA 01613-1025 - City
- Worcester
- State
- MA
- Zip
- 01613-1025
- Phone Number
- 508-363-7344
License Information
- License Number
- 156574
- License State
- MA
- Taxonomy
- Pediatrics, Pediatric Gastroenterology · 2080P0206X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Pediatric Gastroenterology providers near Worcester, MA
View all Pediatrics, Pediatric Gastroenterology providers in Worcester →- Dr. Ninfa M Candela, MDPediatrics, Pediatric Gastroenterology · NPI 1710130067
- Idris Z Dahod, MDPediatrics, Pediatric Gastroenterology · NPI 1265485767
- Donna Dulmaine-Mcavey, LDOTechnician/Technologist, Optician · NPI 1609776939
- Sarah PalmerCounselor, Addiction (Substance Use Disorder) · NPI 1316847544
- Anthony GikiriLicensed Practical Nurse · NPI 1588564132
- Edina C AlexandreCounselor · NPI 1295635738
Frequently Asked Questions
What is the NPI number of Central Mass Pediatric Gi & Nutrition, P.c.?
The NPI number of Central Mass Pediatric Gi & Nutrition, P.c. is 1114195179. It was assigned on February 13, 2008 and is currently active in the NPPES registry.
What is the specialty of Central Mass Pediatric Gi & Nutrition, P.c.?
Central Mass Pediatric Gi & Nutrition, P.c. is registered under the primary taxonomy Pediatrics, Pediatric Gastroenterology (code 2080P0206X), licensed in MA under license number 156574.
Where does Central Mass Pediatric Gi & Nutrition, P.c. practice?
The practice location is 123 Summer Street, Suite 630, Worcester, MA 01608. The office can be reached at 508-363-7344 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114195179 directly on the NPPES registry website.