Organization
COMMONWEALTHCARE ALLIANCE
Active
Other names
No
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA NJENGA (MS PA-C)
(413) 887-5130
Entity
Organization
Contact information
Practice address
101 WASON AVE, SPRINGFIELD, MA 01107-1140
(413) 887-5130
Mailing address
101 WASON AVE, SPRINGFIELD, MA 01107-1140
(413) 887-5130
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PA5315
MA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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