Organization
GAZEBO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MCNEIGHT (TREASURER)
(413) 584-6673
Entity
Organization
Contact information
Practice address
14 CENTER ST, NORTHAMPTON, MA 01060-3005
(413) 584-6673
(413) 584-0195
Mailing address
14 CENTER ST, NORTHAMPTON, MA 01060-3005
(413) 584-6673
(413) 584-0195
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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