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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JARED T MICKELSON, D.O.

Active

JARED T MICKELSON, D.O. is a Pulmonary Disease healthcare provider located in WORCESTER, Massachusetts. NPI 1952720625 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · WORCESTER, MA

Registration Details

NPI Number
1952720625
Provider Type
Individual
Gender
Male
NPI Issued
Apr 10, 2014 (12.380217125579 yrs)
Last Updated
Nov 10, 2020
Licenses
270485 (MA)
270485 (MA)

Practice Information

Address
55 LAKE AVE N
WORCESTER, MA, 016550002
Browse MA providers · Browse ZIP 01655
Phone
5088561975
Fax
7744423999
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease

Other Pulmonary Disease Providers in WORCESTER, MA

Name Credential NPI
HARDY KORNFELD M.D. 1124000377
EMIL L TIGAS M.D. 1588646467
ALLAN J WALKEY MD 1427030048
STEPHEN JAY KRINZMAN M.D. 1003898420
JOHN MARK MADISON M.D. 1821070244
DR. OREN SCHAEFER M.D. 1649252065
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.