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Contact Information

MARY ALICE ABBOTT, MD
55 LAKE AVE N
WORCESTER, MA01655-0002
 Phone: 774-442-5695
 Fax: 774-442-3525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

207SG0201X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARY ALICE ABBOTT · (Female)

NPI # 1982799417
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 02/05/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 223601
  • MA Medicaid 110041048A
Hospital affiliation(s)
  • BAYSTATE MEDICAL CENTER - (Acute Care)
    759 CHESTNUT STREET
    SPRINGFIELD, MA 01199
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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