Provider Demographics
NPI:1043063332
Name:METASCRIPTMD
Entity Type:Organization
Organization Name:METASCRIPTMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:508-535-0910
Mailing Address - Street 1:54 PARSONS HILL DR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-1243
Mailing Address - Country:US
Mailing Address - Phone:508-532-0910
Mailing Address - Fax:508-876-2184
Practice Address - Street 1:54 PARSONS HILL DR
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-1243
Practice Address - Country:US
Practice Address - Phone:508-532-0910
Practice Address - Fax:508-453-1084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty