COMMONWEALTH MEDICINE NPI 1770142945

NPI Information

NPI: 1770142945
Provider Name: COMMONWEALTH MEDICINE
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
Phone: (617) 886-8264
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COMMONWEALTH MEDICINE is a public health or welfare in Worcester, MA. COMMONWEALTH MEDICINE NPI is 1770142945. The provider is registered as an organization entity type.

The provider's business location address is:

55 LAKE AVE N
WORCESTER, MA
ZIP 01655-002
Phone: (617) 886-8264

The provider's authorized official is Rosemarie Bonaventura .
The authorized official title is Deputy Director and has the following contact phone number (617) 886-8013.

The enumeration date for this NPI number is 6/11/2019 and was last updated on 6/11/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local			No
2	251K00000X	Public Health or Welfare				Yes

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

NPI Synchronization or Removal

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