Deborah K Ekstrom


Address: 39 Salisbury St, Worcester, MA 01609-3160

Deborah K Ekstrom (NPI# 1518916188, PAC ID# 3072569474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1518916188
PAC ID by PECOS 3072569474
Professional Enrollment ID I20050329000967
Full Name Deborah K Ekstrom
Address 39 Salisbury St
Worcester
MA 01609-3160
Gender F
Credential MD
Medical School UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1978
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
220163 UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS

Other Locations

Address Phone Organization
39 Salisbury St, Worcester, MA 01609-3160

Organization Information

Office Location

Street Address 39 SALISBURY ST
City WORCESTER
State MA
Zip 01609-3160

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Competitor

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City WORCESTER
Zip Code 01609
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty WORCESTER + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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