Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 209642 | MA |
Y | 208600000X | Surgeon | 209642 | MA |
NPI | 1023091196 |
---|---|
Provider Name | Dr. Craig A Paterson |
First Address | Shrewsbury, MA 01545-0062 |
Second Address | Worcester, MA 01605-2903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0138550 | (05) | MA |
G64817 | (02) | MA |