Provider Demographics
NPI:1407828734
Name:BRESS, NORMAN M (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:M
Last Name:BRESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2529
Mailing Address - Country:US
Mailing Address - Phone:508-757-8383
Mailing Address - Fax:508-752-2966
Practice Address - Street 1:210 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2529
Practice Address - Country:US
Practice Address - Phone:508-757-8383
Practice Address - Fax:508-752-2966
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA32263207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAD83009Medicare UPIN