Physician Assistant
COREY CARACCIOLO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1063059566 · enumerated 2019-12-03 · record updated 2021-06-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 55 LAKE AVE N, WORCESTER, MA, 01655-0002 (508) 334-0605 Fax (508) 856-5074 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 415348, BOSTON, MA, 02241-5348 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant 363A00000X · Primary · License PA8113 MA
Locations and evidence
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Practice location
WORCESTER, MA, 016550002
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.