Regal Medical Group
Family Medicine in Worcester, MA. Organization (NPI-2).
NPI number1548079080
StatusActive
Last updated in NPPESJun 25, 2025
Details
- NPI
- 1548079080
- Entity type
- Organization (NPI-2)
- Legal business name
- Regal Medical Group
- Organization subpart
- No
- Enumeration date
- Dec 30, 2024
- Certification date
- Jun 25, 2025
- Last updated
- Jun 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Webster Square Medical Center (Doing Business As)
Practice location
255 Park Ave Ste 400Worcester, MA 01609-1989
Phone 508-755-9776 · Fax 508-793-0715
Mailing address
255 Park Ave Ste 400Worcester, MA 01609-1989
Phone 508-755-9776 · Fax 508-831-7861
Authorized official
Al Nawab
Director
5089250073
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