PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC is a primary care clinic center in Worcester, MA. PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC NPI is 1295039196. The provider is registered as an organization entity type.
The provider Is Doing Business As The Hanover Wellness Center.
The provider's business location address is:
440 LINCOLN ST
WORCESTER, MA
ZIP 01653
Phone: (508) 855-2222
Fax: (508) 855-6199
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 22D1098588 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/6/2011 and was last updated on 8/24/2022.