Organization
SURGICAL ASSOCIATES OF SPRINGFIELD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD F MOUCHANTAT MD (PRESIDENT)
(413) 566-5343
Entity
Organization
Contact information
Practice address
7 GLENDALE VIEW DR, HAMPDEN, MA 01036
(413) 566-5343
(413) 566-5375
Mailing address
7 GLENDALE VIEW DR, HAMPDEN, MA 01036
(413) 566-5343
(413) 566-5375
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27725
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9700412
—
MA
Enumeration date
01/30/2008
Last updated
01/30/2008
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