Most Relevant Information
Provider Data
| NPI Number: | 1003298860 |
| Provider Name: | DOMINIQUE ROWCROFT M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 289602 |
Most Important Dates
| Enumeration Date: | 06/29/2015 |
| Last Updated: | 10/28/2022 |
Provider Practice Location
55 LAKE AVE N
WORCESTER
MA
016550002
Practice Location Phone/Fax
| Phone: | 5083343850 |
| Fax: |
Provider Mailing Location
PO BOX 415348
BOSTON
MA
022415348
Provider Mailing Phone/Fax
| Phone: | 8002258885 |
| Fax: | 5083341977 |