Organization
BAYSTATE NORTHERN EDGE ADULT MEDICINE
Active
Organization
BAYSTATE NORTHERN EDGE ADULT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE BOSS (MD)
(413) 794-8777
Entity
Organization
Contact information
Practice address
3400 MAIN ST, SPRINGFIELD, MA 01199-1003
(413) 799-8777
(413) 799-8266
Mailing address
3400 MAIN ST, SPRINGFIELD, MA 01199-1003
(413) 799-8777
(413) 799-8266
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
48101
MA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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