Healthcare Provider Details

I. General information

NPI: 1356348395
Provider Name (Legal Business Name): MARGARET M KAMIN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2005
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 SOUTHBRIDGE ST
AUBURN MA
01501-2498
US

IV. Provider business mailing address

5 NEPONSET ST WOT 2ND FL, STE C203
WORCESTER MA
01606-2714
US

V. Phone/Fax

Practice location:
  • Phone: 508-425-5446
  • Fax: 508-425-5951
Mailing address:
  • Phone: 508-425-5446
  • Fax: 508-425-5951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP119010
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: