Organization
HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
Active
Parent organization
HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
Authorized official
LISA PATENAUDE (CHIEF FINANCIAL OFFICER)
(413) 314-6203
Entity
Organization
Contact information
Practice address
95 LIBERTY ST, SPRINGFIELD, MA 01103-1011
(413) 732-6660
(413) 732-6166
Mailing address
354 BIRNIE AVE, ATTN: PAM GREANEY, SPRINGFIELD, MA 01107-1108
(413) 314-6203
(413) 733-5235
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327105
MEDICARE PIN - IMAG CTR
MA
01
—
P00371177
RR MEDICARE PTAN - IMAG CTR
MA
Enumeration date
12/04/2006
Last updated
01/05/2012
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