# BAYSTATE VASCULAR SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174721336
- **Authorized official:** LORING FLINT MD (PRESIDENT)
- **Authorized official phone:** (413) 794-5612

## Contact information

- **Practice address:** 3500 MAIN ST, SUITE 201, SPRINGFIELD, MA 01107-1137
- **Practice address phone:** (413) 784-0900
- **Mailing address:** 3500 MAIN ST, SUITE 201, SPRINGFIELD, MA 01107-1137
- **Mailing address phone:** (413) 784-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 07/12/2007