Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY S BORDEAUX, MD MPH
ActiveJEREMY S BORDEAUX, MD MPH is a Obesity Medicine healthcare provider located in WORCESTER, Massachusetts. NPI 1043242589 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · WORCESTER, MA
Registration Details
- NPI Number
- 1043242589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.079756621246 yrs)
- Last Updated
- Dec 17, 2020
- Licenses
-
35-089926 (OH)228008 (MA)35-089926 (OH)35-089926 (OH)
Practice Information
- Address
-
281 LINCOLN STREETUMASS DERMATOLOGY HAHNEMANN CAMPUSWORCESTER, MA, 01605Browse MA providers · Browse ZIP 01605
- Phone
- 5083345971
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.