Individual
TIFFANY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 CAREW ST, STE 305, SPRINGFIELD, MA 01104-2301
(413) 748-7381
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5051
MA
363AS0400X
Surgical Physician Assistant
6542
CT
363AS0400X
Surgical Physician Assistant
Primary
PA5051
MA
Other
Enumeration date
07/15/2014
Last updated
02/05/2026
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