Provider Demographics
NPI:1134175441
Name:CHILDS, ABIGAIL M (MD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:M
Last Name:CHILDS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 1045
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01613-1045
Mailing Address - Country:US
Mailing Address - Phone:508-752-6068
Mailing Address - Fax:508-752-0822
Practice Address - Street 1:100 GROVE ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2627
Practice Address - Country:US
Practice Address - Phone:508-752-6068
Practice Address - Fax:508-752-0822
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2025-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43015116112085R0202X
MA2239552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042477296OtherHEALTH CARE VALUE MANAGEM
MA0007041OtherNEIGHBORHOOD HEALTH PLAN
MA96034OtherFALLON COMMUNITY HEALTH P
MA2106230Medicaid
MA042477296OtherPRIVATE HEALTH CARE SYSTE
MAAA41875OtherHARVARD PILGRIM HEALTH CA
MAJ28958OtherBLUE CROSS BLUE SHIELD
MA042477296OtherUNITED HEALTH CARE
MA2106230OtherHEALTHY START