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Search › Massachusetts › 175T00000X

Addis Woldeguiorguis

NPI 1740763739 · on the registry since 2018 · sole proprietor

Practice

Address
157 Green St
Jamaica Plain, MA 02130
Phone
(857) 615-6289
Organisation at this address
Mspcc
Arbour Inc.
Massachusetts Society For The Prevention Of Cruelty To Children
Inferred from a shared address, not stated in the registry.
Clinicians at this address
86

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts