Mariah Bundy
Physician Assistant in Worcester, Massachusetts
1770104697- Practice location
- 279 Lincoln St, Worcester, MA 01605-2120
- Phone
- 508-334-8830
- Fax
- 508-334-8810
- Last updated
- May 10, 2024
Mariah Bundy is a Physician Assistant based in Worcester, MA. Mariah Bundy practices in Worcester, MA. The NPI Number for Mariah Bundy is 1770104697 and holds a License No. PA7801 (MA). The current practice location address for Mariah Bundy is 279 Lincoln St, Worcester, MA 01605-2120 and can be reached out via phone at 508-334-8830 and via fax at 508-334-8810.
Provider Profile Details
- NPI Number
- 1770104697
- Provider Name
- Mariah Bundy
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 279 Lincoln St, Worcester, MA 01605-2120
- Phone Number
- 508-334-8830
- Fax Number
- 508-334-8810
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 1, 2020
- Last Update Date
- May 10, 2024
- Certification Date
- May 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 279 Lincoln St
Worcester, MA 01605-2120 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-2120
- Phone Number
- 508-334-8830
- Fax Number
- 508-334-8810
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number
- PA7801
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mariah Bundy?
The NPI number of Mariah Bundy is 1770104697. It was assigned on May 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Mariah Bundy?
Mariah Bundy is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA7801.
Where does Mariah Bundy practice?
The practice location is 279 Lincoln St, Worcester, MA 01605-2120. The office can be reached at 508-334-8830 (phone) or 508-334-8810 (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 1770104697 directly on the NPPES registry website.