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Organization
HAMPSHIRE PATHOLOGISTS, INC.
Active
Organization
HAMPSHIRE PATHOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA K GLANTZ MD (PRESIDENT)
(413) 584-4090
Entity
Organization
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2175
(413) 582-2954
Mailing address
291 MOODY ST, LUDLOW, MA 01056-1246
(800) 866-6663
(413) 589-7554
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008668
NEIGHBOORHOOD
MA
01
—
0463289
AETNA
MA
01
—
50000PMS19
CT BLUE SHIELD
CT
05
—
9734244
—
MA
01
—
M13829
BCBS MA
MA
01
—
S006844
CHAMPVA/TRICARE-CHAMPUS
MA
01
—
W40841
NY BLUE SHIELD
NY
Enumeration date
06/19/2006
Last updated
05/16/2011
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