Organization
ADULT AND GERIATRIC MEDICINE PARTNERS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA PETERS D.O. (PRESIDENT)
(413) 455-1217
Entity
Organization
Contact information
Practice address
125 LIBERTY ST, SUITE 403, SPRINGFIELD, MA 01103-1114
(413) 455-1217
Mailing address
PO BOX 70323, SPRINGFIELD, MA 01107-0323
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
76807
MA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
76807
MA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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