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Organization

BAYSTATE MEDICAL PRACTICES, INC

Active
Parent organization
BAYSTATE MEDICAL PRACTICES, INC
Other names
Northern Region
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAYSTATE MEDICAL PRACTICES, INC
Authorized official
DEBRA A. CREMONTI (DIRECTOR OF MEDICAL STAFF SERVICES)
(413) 794-5508
Entity
Organization

Contact information

Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1000
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RG0100X
Gastroenterology Physician
207RP1001X
Pulmonary Disease Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
208800000X
Urology Physician
208M00000X
Hospitalist Physician

Other

Enumeration date
05/20/2010
Last updated
05/20/2010
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