Organization
ESSENTIAL DIABETES AND PRIMARY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY GROOVER (OWNER)
(413) 305-1178
Entity
Organization
Contact information
Practice address
299 CAREW ST STE 300, SPRINGFIELD, MA 01104-2361
(413) 305-1178
Mailing address
225 CORONA ST, SPRINGFIELD, MA 01104-2923
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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