Individual
IAN THOMAS IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
759 CHESTNUT ST # S6538, SPRINGFIELD, MA 01107-1619
(413) 794-3233
(413) 794-9060
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
5718
CT
363AM0700X
Medical Physician Assistant
Primary
PA9173
MA
Other
Enumeration date
05/22/2022
Last updated
05/03/2023
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