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Organization

CD PRACTICE ASSOCIATES INC

Active
Other names
Dba Richard Norris, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN KOLOZYC (DIRECTOR OF OPERATIONS)
(413) 582-2898
Entity
Organization

Contact information

Practice address
76 CARLON DR STE C, NORTHAMPTON, MA 01060-2377
(413) 584-5384
(413) 585-0018
Mailing address
30 LOCUST STREET, CD PRACTICE ASSOCIATES, INC., NORTHAMPTON, MA 01060-2052
(413) 582-2898
(413) 582-2958

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
55161
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
614074
TUFTS HEALTH PLAN
MA
01
M15904
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
01/24/2013
Last updated
01/24/2013
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