Active NPIIndividual provider

Ita S Segal, MD

Radiology, Diagnostic Radiology in Worcester, Massachusetts

NPI Number1659347904
Practice location
135 Gold Star Blvd, Worcester, MA 01606
Fax
508-856-9025
Last updated
July 8, 2008

Ita S Segal is a Radiology, Diagnostic Radiology based in Worcester, MA. Ita S Segal practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Ita S Segal is 1659347904 and holds a License No. 030717 (CT). The current practice location address for Ita S Segal is 135 Gold Star Blvd, Worcester, MA 01606 and can be reached out via phone at 508-853-2716 and via fax at 508-856-9025.

Provider Profile Details

NPI Number
1659347904
Provider Name
Ita S Segal
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
135 Gold Star Blvd, Worcester, MA 01606
Phone Number
508-853-2716
Fax Number
508-856-9025
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
February 27, 2006
Last Update Date
July 8, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 Gold Star Blvd
Worcester, MA 01606
Zip
01606
Phone Number
508-853-2716
Fax Number
508-856-9025
Worcester, MA 01606Get directions →

Provider Business Mailing Address Details

Address
630 Plantation St
Wot 12TH Floor Attn Physician Services
Worcester, MA 01605
City
Worcester
State
MA
Zip
01605
Phone Number
508-368-5529
Fax Number
508-368-5530

License Information

License Number
030717
License State
CT
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ita S Segal, MD?

The NPI number of Ita S Segal, MD is 1659347904. It was assigned on February 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Ita S Segal, MD?

Ita S Segal, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CT under license number 030717.

Where does Ita S Segal, MD practice?

The practice location is 135 Gold Star Blvd, Worcester, MA 01606. The office can be reached at 508-853-2716 (phone) or 508-856-9025 (fax).

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 1659347904 directly on the NPPES registry website.

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