- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-334-1000
- Fax
- —
- Last updated
- July 9, 2012
Maya Dor is a Pediatrics based in Worcester, MA. Maya Dor practices in Worcester, MA and has the professional credentials of DO. The NPI Number for Maya Dor is 1558623942 and holds a License No. 252805 (MA). The current practice location address for Maya Dor is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-1000.
Provider Profile Details
- NPI Number
- 1558623942
- Provider Name
- Maya Dor
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-334-1000
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Other Names
- -- Maya Reznichenko, DO (Other Name)
- Provider Enumeration Date
- June 12, 2012
- Last Update Date
- July 9, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-334-1000
Provider Business Mailing Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- MA
- Zip
- 01655-0002
- Phone Number
- 508-334-1000
License Information
- License Number
- 252805
- License State
- MA
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Worcester, MA
View all Pediatrics providers in Worcester →Frequently Asked Questions
What is the NPI number of Maya Dor, DO?
The NPI number of Maya Dor, DO is 1558623942. It was assigned on June 12, 2012 and is currently active in the NPPES registry.
What is the specialty of Maya Dor, DO?
Maya Dor, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 252805.
Where does Maya Dor, DO practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-1000 (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 1558623942 directly on the NPPES registry website.