Healthcare Provider Details

I. General information

NPI: 1841353158
Provider Name (Legal Business Name): WPI HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 INSTITUTE ROAD WPI HEALTH SERVICES
WORCESTER MA
01609-2247
US

IV. Provider business mailing address

100 INSTITUTE ROAD WPI HEALTH SERVICES
WORCESTER MA
01609-2247
US

V. Phone/Fax

Practice location:
  • Phone: 508-831-5520
  • Fax: 508-831-5953
Mailing address:
  • Phone: 508-831-5520
  • Fax: 508-831-5953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number StateMA

VIII. Authorized Official

Name: MS. REGINA ROBERTO
Title or Position: DIRECTOR
Credential: NP
Phone: 508-831-5520