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Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
325B KING ST, NORTHAMPTON, MA 01060-2370
(413) 584-1588
(413) 588-0821
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1756
MA

Other

Enumeration date
10/13/2006
Last updated
10/16/2017
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