Healthcare Provider Details

I. General information

NPI: 1285717959
Provider Name (Legal Business Name): QUALITY KIDS KARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WINTHROP ST
WORCESTER MA
01604-4435
US

IV. Provider business mailing address

10 WINTHROP ST
WORCESTER MA
01604-4435
US

V. Phone/Fax

Practice location:
  • Phone: 508-754-4200
  • Fax:
Mailing address:
  • Phone: 508-754-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SAHDEV R PASSEY
Title or Position: PRESIDENT
Credential: MD
Phone: 508-754-4200