Organization
NORTHAMPTON SURGICAL ASSOCIATES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS KEEFE (PRACTICE MANAGER)
(413) 586-3232
Entity
Organization
Contact information
Practice address
264 ELM ST STE 8, NORTHAMPTON, MA 01060-2857
(413) 586-3232
(413) 582-7092
Mailing address
264 ELM ST STE 8, NORTHAMPTON, MA 01060-2857
(413) 586-3232
(413) 582-7092
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZK5715
BLUE CROSS BLUE SHIELD OF
MA
Enumeration date
12/29/2006
Last updated
08/22/2020
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