MEDICARE: EAR, NOSE & THROAT ASSOCIATES OF WORCESTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	231HA2400X	Assistive Technology Practitioner Audiologist
2	231H00000X	Audiologist
3	363L00000X	Nurse Practitioner
4	207Y00000X	Otolaryngology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285620609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAR, NOSE & THROAT ASSOCIATES OF WORCESTER, INC.

Provider Business Mailing Address
First Line	:	246 SOUTHBRIDGE RD
Second Line	:
City	:	CHARLTON
State	:	MA
Zip	:	01507-5237
Country	:	US
Telephone Number	:	508-980-7074
Fax Number	:	508-434-0821

Provider Business Practice Location Address
First Line	:	246 SOUTHBRIDGE RD
Second Line	:
City	:	CHARLTON
State	:	MA
Zip	:	01507-5237
Country	:	US
Telephone Number	:	508-980-7074
Fax Number	:	508-434-0821

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER C CHARON
Credential	:	M.D.
Telephone Number	:	508-791-6305

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	11/06/2025

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