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Commonwealth Medicine — NPI 1770142945, Worcester, MA | NPI Central

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NPI 1770142945

OrganizationActive

Commonwealth Medicine

NPI 1770142945 · Public Health or Welfare Agency · Worcester, MA

Provider details

NPI number: 1770142945
Entity type: Organization
Primary specialty: Public Health or Welfare AgencyAgencies
Parent organization: University of Massachusetts Medical School
Organization subpart: Yes
Authorized official: Rosemarie Bonaventura, Deputy Director(617) 886-8013

Specialties & taxonomies

Public Health or Welfare AgencyPrimary251K00000X
Agencies
State or Local Public Health Clinic/Center261QP0905X
Ambulatory Health Care Facilities

Practice location

55 Lake Ave N

Worcester, MA 01655-0002

Phone: (617) 886-8264

Approximate (ZIP-level) locationGet directions

More MA providers

Mailing address

529 Main St Fl 3

Charlestown, MA 02129-1125

Other names (DBA / former)

Doing business as: Cwm - Vaccine Program

Registry dates

Enumerated: 2019-06-11
Last updated: 2019-06-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.