Individual
DR. BEJON TEMUS MANECKSHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 ASHLEY AVE, WEST SPRINGFIELD, MA 01089-1353
(413) 747-1817
(413) 205-2807
Mailing address
PO BOX 366, LUDLOW, MA 01056-0366
(413) 733-0010
(413) 205-2807
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
036.121021
IL
204F00000X
Transplant Surgery Physician
055397
CT
204F00000X
Transplant Surgery Physician
14248
NV
208600000X
Surgery Physician
036.121021
IL
208600000X
Surgery Physician
055397
CT
208600000X
Surgery Physician
Primary
283546
MA
2086S0129X
Vascular Surgery Physician
14248
NV
Other
Enumeration date
12/23/2009
Last updated
10/12/2020
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