Search › Massachusetts › 163W00000X
Elie Jacques
NPI 1902679533 · on the registry since 2023 · sole proprietor
Practice
- Address
- 17 Brattle St
Worcester, MA 01606 - Phone
- (857) 312-6242
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-06
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