Individual
DR. THEODORE MARK INGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 DAGGETT DR, WEST SPRINGFIELD, MA 01089-4638
(413) 733-2260
Mailing address
33 RIDDELL ST, GREENFIELD, MA 01301-2025
(413) 733-2260
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41139
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2089009
—
MA
Enumeration date
03/30/2006
Last updated
02/15/2016
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