Provider Demographics
NPI:1740249614
Name:UMMHC
Entity type:Organization
Organization Name:UMMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT PROFESSOR
Authorized Official - Prefix:
Authorized Official - First Name:RAFFAELLA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:COLZANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-856-3166
Mailing Address - Street 1:19 STONEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-4050
Mailing Address - Country:US
Mailing Address - Phone:508-845-6651
Mailing Address - Fax:
Practice Address - Street 1:55 LAKE AVE N
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01655-0002
Practice Address - Country:US
Practice Address - Phone:508-856-3166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital