OrganizationActive
Central Mass Pediatric Gi & Nutrition, P.C.
NPI 1114195179 · Pediatric Gastroenterology Physician · Worcester, MA
Provider details
- NPI number
- 1114195179
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Idris Dahod, President(508) 363-7344
- License
- 156574 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
123 Summer Street
Suite 630
Worcester, MA 01608
Phone: (508) 363-7344
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1025
Worcester, MA 01613-1025
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2008-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.