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CENTRAL MASS ALLERGY & ASTHMA CARE NPI 1093708927


NPI Information

NPI: 1093708927
Provider Name: CENTRAL MASS ALLERGY & ASTHMA CARE
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
100 MLK JR BLVD
2ND FLOOR
WORCESTER, MA
ZIP 01608
Phone: (508) 757-1589
Get Directions

CENTRAL MASS ALLERGY & ASTHMA CARE is an allergy allergy immunology in Worcester, MA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee CENTRAL MASS ALLERGY & ASTHMA CARE NPI is 1093708927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 MLK JR BLVD
2ND FLOOR
WORCESTER, MA
ZIP 01608-209
Phone: (508) 757-1589
Fax: (508) 756-5633

The provider's authorized official is Joan Hawkins .
The authorized official title is Practice Manager and has the following contact phone number (508) 757-1589.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 9/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1691549OTHERMASSACHUSETTSTUFTS HEALTH PLAN GROUP
2M21493MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE GROUP NUMBER
3=========OTHERMASSACHUSETTSGROUP TAX ID NUMBER
457871OTHERMASSACHUSETTSFALLON HEALTH PLAN GROUP
59751688MEDICAIDMASSACHUSETTS
60028926OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH GROUP
7M17542OTHERMASSACHUSETTSBLUE SHIELD GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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