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Contact Information

UMASS MEMORIAL MEDICAL GROUP INC
55 LAKE AVE N
WORCESTER, MA01655-0002
 Phone: 508-334-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Social Worker

104100000X
 

Surgery

208600000X 02 Physician/General Surgery
 

Transplant Surgery

204F00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for UMASS MEMORIAL MEDICAL GROUP INC · (Female)

NPI Number 1760445373
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2006
Last updated 12/22/2025 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 110000045A
Hospital affiliation(s) Not Available
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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