Individual
MARY KONEFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
Mailing address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA5424
MA
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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