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Individual

ANDREW MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2792
(413) 582-4675
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2792
(413) 582-4675

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51058
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000007896
BMC
MA
01
04-2161484
NORTH AMERICAN PREFERRED
MA
01
102566
CIGNA
MA
01
14069
HEALTH NEW ENGLAND
MA
01
2274527
AETNA
MA
01
438597
HARVARD PILGRIM
MA
01
702623
CONNECTICARE
MA
01
768151
TUFTS
MA
01
J02259
BCBS MA
MA
Enumeration date
01/23/2006
Last updated
04/09/2012
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