Individual
ADAM J IWANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
516 CAREW ST, SPRINGFIELD, MA 01104-2330
(413) 787-2027
(413) 787-2012
Mailing address
516 CAREW ST, SPRINGFIELD, MA 01104-2330
(413) 787-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4487
MA
Other
Enumeration date
10/05/2012
Last updated
03/17/2018
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