Individual
CHELSEA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
115 W SILVER ST, WESTFIELD, MA 01085-3678
(413) 571-0000
Mailing address
6 SHADY DELL LN, SOMERS, CT 06071-2136
(303) 916-2837
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
287548
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
04/28/2023
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