IAN E. DZIEWIETIN

WORCESTER, MA
NPI1104463637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA7940)
Enumeration Date2019-12-03
Last Update Date2021-04-01
Business Address
IAN E. DZIEWIETIN PA-C
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-421-1400
Mailing Address
IAN E. DZIEWIETIN PA-C
PO BOX 415348
BOSTON, MA 02241-5348
Phone number:
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