Organization
WESTERN MASS MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WETSTONE M.D. (MANAGING PARTNER)
(413) 788-6139
Entity
Organization
Contact information
Practice address
100 WASON AVENUE, SUITE 230, SPRINGFIELD, MA 01107
(413) 788-6139
(413) 737-1549
Mailing address
100 WASON AVENUE, SUITE 230, SPRINGFIELD, MA 01107
(413) 788-6139
(413) 737-1549
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
45121
MA
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
12/06/2013
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