Organization
MWA, PC
Active
Other names
RiverBend Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L. LOUNSBURY M.D. (PRESIDENT)
(413) 789-8019
Entity
Organization
Contact information
Practice address
70 POST OFFICE PARK, WILBRAHAM, MA 01095
(413) 598-7770
(413) 599-1399
Mailing address
232 MAIN ST, AGAWAM, MA 01001-1838
(413) 789-5178
(413) 789-8034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9782613
—
MA
Enumeration date
02/03/2009
Last updated
07/02/2012
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