Organization
PIONEER VALLEY LUNG ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIVA P SIVAKUMAR M.D. (PRESIDENT)
(361) 813-8771
Entity
Organization
Contact information
Practice address
10 HOSPITAL DR, SUITE #206, HOLYOKE, MA 01040-6643
(361) 813-8771
Mailing address
38 ERICKA CIR, EAST LONGMEADOW, MA 01028-1658
(361) 813-8771
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
247647
MA
207RP1001X
Pulmonary Disease Physician
Primary
247647
MA
Other
Enumeration date
12/03/2011
Last updated
09/12/2013
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