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Organization

THEODORE M INGIS MD PC

Active
Other names
INGIS EYE CARE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEODORE M INGIS MD (OWNER)
(413) 733-2260
Entity
Organization

Contact information

Practice address
300 STAFFORD ST, SUITE 112, SPRINGFIELD, MA 01104-3581
(413) 733-2260
(413) 732-9645
Mailing address
300 STAFFORD ST, SUITE 112, SPRINGFIELD, MA 01104-3581
(413) 733-2260
(413) 732-9645

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
41139
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M13274
MEDICARE GRP
MA
Enumeration date
08/07/2007
Last updated
08/07/2007
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