Individual
DR. ELIZABETH MARIE O DAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2200
Mailing address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230255
MA
207Q00000X
Family Medicine Physician
350792210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00445856
MEDICARE RR
MA
Enumeration date
04/25/2006
Last updated
03/05/2013
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