Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Central Mass Pediatric Gi & Nutrition, PC

Organization Pediatric Gastroenterology Physician · NPI 1114195179

Central Mass Pediatric Gi & Nutrition, PC provides Pediatric Gastroenterology Physician services in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

123 Summer St Ste 630
Worcester, MA 01608 Not confirmed with CMS for 18 years — call before visiting
Phone: (508) 363-7344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 156574 (MA)

Record details

NPI number1114195179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Idris Dahod — President · (508) 363-7344
NPI enumeratedFebruary 13, 2008
Last updated in NPPESFebruary 13, 2008
Mailing addressPo Box 1025, Worcester, MA 01613-1025

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