| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1245293745 | GERMAIN | MARY | ANN | 198 RUSSELL ST | WORCESTER | MA | 01609 | |
| 1043432461 | KENNEDY | EMILY | MARY | 198 RUSSELL ST | WORCESTER | MA | 016092200 | |
| 1528168135 | RUTHERFORD | STACEY | JENEE | 198 RUSSELL ST | WORCESTER | MA | 016092200 |