Central Mass Pediatric Gi & Nutrition, P.c.
Pediatric Gastroenterology
Central Mass Pediatric Gi & Nutrition, P.c. is a Worcester, Massachusetts based Pediatric center with medical specialization in
Pediatric Gastroenterology.
It is located at
123 Summer Street, Suite 630, Worcester, Massachusetts - 01608. They can be contacted on phone at
508-363-7344.
NPI number (Unique professional ID) for Central Mass Pediatric Gi & Nutrition, P.c. is
1114195179 which was assigned by NPPES on 13 Feb, 2008 and it was last updated on 13 Feb, 2008.
Central Mass Pediatric Gi & Nutrition, P.c. license number is
156574 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Massachusetts.
Central Mass Pediatric Gi & Nutrition, P.c. specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Central Mass Pediatric Gi & Nutrition, P.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Central Mass Pediatric Gi & Nutrition, P.c. |
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Business Address:
Central Mass Pediatric Gi & Nutrition, P.c. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 123 Summer Street, Suite 630
Worcester, MA, 01608
United States |
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| Phone Number : | 508-363-7344 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1114195179 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Feb, 2008 |
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| Last Updated On : | 13 Feb, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Idris Dahod |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 508-363-7344 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Central Mass Pediatric Gi & Nutrition, P.c. are as mentioned. Primary taxonomy code for Central Mass Pediatric Gi & Nutrition, P.c. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 156574 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Central Mass Pediatric Gi & Nutrition, P.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 691538 | Other | MA | TUFTS |
| M18069 | Other | MA | BLUE CROSS BLUE SHIELD |
| 3185796 | MEDICAID | MA | |
| 55515 | Other | MA | FALLON |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1025
Worcester, MA, 01613-1025
United States |
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| Phone Number : | 508-363-7344 |
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Business Location:
Patients can refer following map for directions to
Central Mass Pediatric Gi & Nutrition, P.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.