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1962001693
JOSEPH PRENDERGAST
WORCESTER, MA
NPI
1962001693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA RN2309484)
Enumeration Date
2020-10-23
Last Update Date
2021-08-09
Business Address
JOSEPH PRENDERGAST NP
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-8515
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Mailing Address
JOSEPH PRENDERGAST NP
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885
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