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Organization
BAYSTATE VASCULAR SERVICES, INC
Active
Organization
BAYSTATE VASCULAR SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORING FLINT MD (PRESIDENT)
(413) 794-5612
Entity
Organization
Contact information
Practice address
3500 MAIN ST, SUITE 201, SPRINGFIELD, MA 01107-1137
(413) 784-0900
Mailing address
3500 MAIN ST, SUITE 201, SPRINGFIELD, MA 01107-1137
(413) 784-0900
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
07/12/2007
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