Organization
IMPACT PHYSICIAN GROUP MASSACHUSETTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MILLER (CEO)
(678) 967-5599
Entity
Organization
Contact information
Practice address
45 LOWER WESTFIELD RD, HOLYOKE, MA 01040-2747
(413) 315-4100
(844) 440-2328
Mailing address
PO BOX 744577, ATLANTA, GA 30374-4577
(678) 967-5599
(844) 440-2328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/05/2025
Last updated
07/28/2025
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