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Individual

ADAM GRAVES VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2 MEDICAL CENTER DR STE 512, SPRINGFIELD, MA 01107-1273
(413) 794-5550
(413) 794-4212
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA7307
MA

Other

Enumeration date
10/20/2016
Last updated
12/13/2021
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