Organization
CARDIOVASCULAR ASSOCIATES OF WESTERN MASS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTILAL N KENIA M.D. (PRESIDENT)
(413) 562-7558
Entity
Organization
Contact information
Practice address
65 SPRINGFIELD RD, WESTFIELD, MA 01085-1855
(413) 562-7558
(413) 562-0907
Mailing address
65 SPRINGFIELD RD, WESTFIELD, MA 01085-1855
(413) 562-7558
(413) 562-0907
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
47638
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
667837
TUFTS HEALH PLAN
MA
05
—
9786872
—
MA
01
—
CG4156
RAILROAD MEDICARE
MA
01
—
M17274
BC/BS OF MASSACHUSETTS
MA
Enumeration date
08/17/2006
Last updated
08/06/2013
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