Individual
TERESA I KLICH-NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 ATWOOD DR, SUITE 203, NORTHAMPTON, MA 01060-4267
(413) 584-9511
(413) 584-4218
Mailing address
22 ATWOOD DR, SUITE 203, NORTHAMPTON, MA 01060-4267
(413) 584-9511
(413) 584-4218
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
209407
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110004866A
—
MA
01
—
209407
TUFTS
MA
01
—
31530
HEALTH NEW ENGLAND
MA
01
—
524481
FALLON
MA
01
—
7829624
AETNA
MA
01
—
AA523851
HARVARD HEALTH PLAN
MA
01
—
J24433
BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
06/01/2006
Last updated
02/02/2017
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