Individual
MARY E KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 STAFFORD ST, STE 300, SPRINGFIELD, MA 01104-3581
(413) 736-1569
(413) 746-6066
Mailing address
300 STAFFORD ST, STE 300, SPRINGFIELD, MA 01104-3581
(413) 736-1569
(413) 746-6066
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MA60475
MA
Other
Enumeration date
09/15/2006
Last updated
10/28/2015
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