Mariah Bundy
Physician Assistant in Worcester, MA. Individual provider (NPI-1).
NPI number1770104697
StatusActive
Last updated in NPPESMay 10, 2024
Details
- NPI
- 1770104697
- Entity type
- Individual (NPI-1)
- Name
- Mariah Bundy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2020
- Certification date
- May 10, 2024
- Last updated
- May 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA7801 | MA | Yes |
Practice location
279 Lincoln StWorcester, MA 01605-2120
Phone 508-334-8830 · Fax 508-334-8810
Mailing address
Po Box 415348Boston, MA 02241-5348
Phone 800-225-8885 · Fax 508-334-1977
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All 425 Physician Assistant providers in Worcester · All 14,792 providers in Worcester
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