Individual
MRS. MIHAELA C IVANCEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 HIGH ST, GREENFIELD, MA 01301-2613
(413) 773-0211
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
260962
MA
208M00000X
Hospitalist Physician
Primary
271212
MA
363L00000X
Nurse Practitioner
256196
MA
Other
Enumeration date
04/02/2007
Last updated
12/09/2021
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