Organization
VALLEY MEDICAL GROUP, P.C.
Active
Parent organization
VALLEY MEDICAL GROUP, P.C.
Other names
Valley Medical Group Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY MEDICAL GROUP, P.C.
Authorized official
DR. PAUL D CARLAN MD (PRESIDENT)
(413) 774-6301
Entity
Organization
Contact information
Practice address
238 NORTHAMPTON ST, EASTHAMPTON, MA 01027
(413) 772-3311
(413) 527-1012
Mailing address
238 NORTHAMPTON ST, EASTHAMPTON, MA 01027-1046
(413) 772-3311
(413) 527-1012
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2535
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110070828G
—
MA
01
—
29362
HEALTH NEW ENGLAND
MA
01
—
692254
TUFTS HEALTH PLAN
MA
Enumeration date
12/19/2006
Last updated
04/30/2021
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