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EBLA ABD ALRAHMAN

Individual Provider (NPI-1) Active

Pediatrics

Provider Information

NPI Number
1255966743
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
55 LAKE AVE N, WORCESTER, MA, 016550002
Phone
(774) 442-6087
Fax
(774) 442-6060

Specialties & Taxonomies

Pediatrics License: CT #70740
Pediatrics Primary License: MA #1019360

All Addresses

LOCATION

55 LAKE AVE N

WORCESTER, MA, 016550002

(774) 442-6087

MAILING

PO BOX 415348

BOSTON, MA, 022415348

(800) 225-8885