NPI | 1457945446 |
---|---|
Doing Business As | PATH WORCESTER PROFESSIONAL GROUP |
Entity Type | Organization |
Authorized Contact | FLORA F. SADRI-AZARBAYEJANI President And Secretary 615-308-7871 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-02-22 |
Last Update Date | 2021-02-22 |