Healthcare Provider Details

I. General information

NPI: 1275689093
Provider Name (Legal Business Name): RACHEL MCCOLL VUOLO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST. PETER'S FREE MEDICAL CLINIC 929 MAIN ST
WORCESTER MA
01610
US

IV. Provider business mailing address

26 QUEEN ST
WORCESTER MA
01610-2473
US

V. Phone/Fax

Practice location:
  • Phone: 508-523-6500
  • Fax:
Mailing address:
  • Phone: 508-860-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number239403
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number239403
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number239403
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: