ALICE A FANNIN

WORCESTER, MA
NPI1649240896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  1422)
Enumeration Date2006-01-23
Last Update Date2007-07-08
Business Address
-- ALICE A FANNIN PA
630 PLANTATION ST
WORCESTER, MA 01605
Phone number: 508-595-2000
Mailing Address
-- ALICE A FANNIN PA
630 PLANTATION ST WOT 12TH FLOOR ATTN. PHYSICIAN SERVICES
WORCESTER, MA 01605
Phone number: 508-368-5529
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