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Contact Information

THEO E MEYER, MD
55 LAKE AVE N
DEPARTMENT OF CARDIOVASCULAR MEDICINE
WORCESTER, MA01655-0002
 Phone: 508-334-3452
 Fax: 774-441-7657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THEO E MEYER · (Male)

NPI Number 1568445294
Status Active
Credentials MD
Entity Individual
Enumeration date 11/28/2005
Last updated 11/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 150067
  • MA Medicaid 110054155A
  • MA Medicaid 3121895
Hospital affiliation(s)
  • HEALTHALLIANCE HOSPITALS INC - (Acute Care)
    60 HOSPITAL ROAD
    LEOMINSTER, MA 01453
  • UMASS MEMORIAL MEDICAL CENTER INC - (Acute Care)
    55 LAKE AVENUE NORTH
    WORCESTER, MA 01655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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