Mary Elise Huerter
Surgeon Cardiothoracic Vascular Surgeon
55 Lake Ave N
Worcester
, Massachusetts 01655-0002
Mary Elise Huerter
Surgeon Cardiothoracic Vascular Surgeon
55 Lake Ave N
Worcester
, Massachusetts 01655-0002
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About
Features
Specialties
- Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mary Elise Huerter
- Po Box 415348
- Boston, MA
- Zip : 02241-5348
- Phone :
Second Address
- Mary Elise Huerter
- 55 Lake Ave N
- Worcester, MA
- Zip : 01655-0002
- Fax : (508) 334-7284
- Phone : (508) 334-3278
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 125.060150 | IL |
| N | 208600000X | Surgeon | 125.060150 | IL |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 283512 | MA |
National Provider Identifier
| NPI | 1043502008 |
|---|---|
| Provider Name | Mary Elise Huerter |
| First Address | Boston, MA 02241-5348 |
| Second Address | Worcester, MA 01655-0002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2011 |
| Last Update Date | 04/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.