Carl Minnerath, DO
Internal Medicine in Worcester, MA. Individual provider (NPI-1).
NPI number1104576552
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1104576552
- Entity type
- Individual (NPI-1)
- Name
- Carl Minnerath
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2022
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 1022847 | MA | Yes |
Practice location
119 Belmont StWorcester, MA 01605-2903
Phone 508-334-8515 · Fax 508-334-6490
Mailing address
Po Box 415348Boston, MA 02241-5348
Phone 800-225-8885 · Fax 508-334-1977
Other practice locations
55 Lake Ave N
Worcester, MA 01655-0002
Worcester, MA 01655-0002
Phone 508-334-8515 · Fax 508-334-6490
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