Healthcare Provider Details

I. General information

NPI: 1376553693
Provider Name (Legal Business Name): WACHUSETT EMERGENCY PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 03/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 HOSPITAL RD
LEOMINSTER MA
01453-2205
US

IV. Provider business mailing address

60 HOSPITAL RD
LEOMINSTER MA
01453-2205
US

V. Phone/Fax

Practice location:
  • Phone: 978-466-2994
  • Fax: 978-466-2993
Mailing address:
  • Phone: 978-466-2994
  • Fax: 978-466-2993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BONNIE RYAN
Title or Position: PRESIDENT
Credential: MD
Phone: 978-466-2428