Basic Information
| Provider Information | |||||||||
| NPI: | 1790206852 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CARUSO | ||||||||
| FirstName: | ALESSANDRA | ||||||||
| MiddleName: | JOY | ||||||||
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| Credential: | BA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 279 LINCOLN STREET | ||||||||
| Address2: | UMMMC, HAHNEMANN FAMILY HEALTH CENTER | ||||||||
| City: | WORCESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083348830 | ||||||||
| FaxNumber: | 5083348835 | ||||||||
| Practice Location | |||||||||
| Address1: | 279 LINCOLN STREET | ||||||||
| Address2: | UMMMC, HAHNEMANN FAMILY HEALTH CENTER | ||||||||
| City: | WORCESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083348830 | ||||||||
| FaxNumber: | 5083348835 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | S10613674 | MA | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.