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NPI Code Detail

MEDICARE: MS. DEBRA HADDAD NP

MEDICARE: MS. DEBRA HADDAD NP
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner230999MA

General Provider Information

NPI Number : 1932186038
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA HADDAD NP
Provider Business Mailing Address
First Line : 5 NORTHAMPTON ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-3407
Country : US
Telephone Number : 508-799-9000
Fax Number : 508-753-3733
Provider Business Practice Location Address
First Line : 107 LINCOLN ST
Second Line : ADCARE HOSPITAL
City : WORCESTER
State : MA
Zip : 01605-2401
Country : US
Telephone Number : 508-799-9000
Fax Number : 508-753-3733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 01/12/2010

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