Joseph Anthony Licausi
Joseph Anthony Licausi is a Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
55 Lake Ave NWorcester, MA 01655-0002
Phone: (508) 334-1000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1881344315 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2022 |
| Last updated in NPPES | March 27, 2022 |
| Certification date | March 27, 2022 |
| Mailing address | 55 Lake Ave N, Worcester, MA 01655-0002 |
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