Individual
ODED RENCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
(413) 598-7041
Mailing address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
(413) 598-7041
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40502
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061783
—
MA
Enumeration date
05/04/2006
Last updated
05/10/2011
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