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Organization
SAMUEL ANTILES, M.D., INC.
Active
Organization
SAMUEL ANTILES, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL ANTILES M.D. (PRESIDENT)
(413) 732-9201
Entity
Organization
Contact information
Practice address
133 MAPLE ST, SPRINGFIELD, MA 01105-1896
(413) 732-9201
Mailing address
133 MAPLE ST, SPRINGFIELD, MA 01105-1896
(413) 732-9201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30432
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9710582
—
MA
Enumeration date
01/13/2007
Last updated
08/22/2020
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