Organization
NORTHERN PAIN MGM CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENTLEY OGOKE M.D. (OWNER)
(413) 733-7515
Entity
Organization
Contact information
Practice address
125 LIBERTY ST, SUITE 100, SPRINGFIELD, MA 01103-1114
(413) 733-7515
(413) 733-7371
Mailing address
PO BOX 10417, HOLYOKE, MA 01041-2017
(413) 540-0150
(413) 540-0159
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787666
—
MA
01
—
M16992
BCBS
MA
Enumeration date
07/21/2006
Last updated
04/07/2008
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