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Individual

DR. PAMELA RENEE HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
299 CAREW ST, STE 400, SPRINGFIELD, MA 01104-2361
(413) 733-1818
(413) 732-2341
Mailing address
299 CAREW ST, STE 400, SPRINGFIELD, MA 01104-2361
(413) 733-1818
(413) 732-2341

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
215993
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0178501
MA
Enumeration date
05/30/2005
Last updated
11/30/2012
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