Organization
JAY S. FLEITMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY S FLEITMAN M.D. (PRESIDENT)
(413) 586-9100
Entity
Organization
Contact information
Practice address
90 CONZ ST, NORTHAMPTON, MA 01060-3881
(413) 586-9100
(413) 586-3379
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M17879
BLUE CROSS
MA
Enumeration date
12/19/2005
Last updated
06/22/2009
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