LUIS BIENVENIDO CARABALLO ANTONIO

WORCESTER, MA
NPI1780145763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-30
Last Update Date2023-10-23
Business Address
LUIS BIENVENIDO CARABALLO ANTONIO MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-1000
Mailing Address
LUIS BIENVENIDO CARABALLO ANTONIO MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-1000