Organization · NPI-2

Abraham W Haddad Dmd PC

Dentist, Periodontics · Worcester, MA

NPI number1881760973
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1881760973
Entity type
Organization (NPI-2)
Legal business name
Abraham W Haddad Dmd PC
Organization subpart
No
Enumeration date
Nov 28, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics10719MAYes
1223P0300X Dentist, Periodontics21379MA

Practice location

250 Commercial Street
Suite 430
Worcester, MA 01608-1796

Phone 508-754-5444 · Fax 508-752-3080

Mailing address

250 Commercial St
Suite 430
Worcester, MA 01608-1796

Phone 508-754-5444 · Fax 508-752-3080

Authorized official

Abraham W Haddad
President
5087535444

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