Healthcare Provider Details

I. General information

NPI: 1326195991
Provider Name (Legal Business Name): PLANNED PARENTHOOD LEAGUE OF MASS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 LINCOLN ST
WORCESTER MA
01605-2010
US

IV. Provider business mailing address

631 LINCOLN ST
WORCESTER MA
01605-2010
US

V. Phone/Fax

Practice location:
  • Phone: 508-854-3300
  • Fax:
Mailing address:
  • Phone: 508-854-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateMA

VIII. Authorized Official

Name: KAREN Y CAPONI
Title or Position: HEALTH SERVICES DIRECTOR
Credential: RNC
Phone: 508-854-3300