Organization
BAYSTATE AFFILIATED PRACTICE ORGANIZATION
Active
Organization
BAYSTATE AFFILIATED PRACTICE ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A. CREMONTI (DIRECTOR MEDICAL STAFF SERVICES)
(413) 794-5508
Entity
Organization
Contact information
Practice address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1000
(413) 794-5700
(413) 794-1629
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1000
(413) 794-3909
(413) 794-1629
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
06/20/2006
Last updated
03/19/2010
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