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Organization

GEORGE F VITEK MD & ASSOCIATES PC

Active
Other names
Pediatric & Adolescent Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY J MARTINS MD (PRESIDENT)
(413) 599-1201
Entity
Organization

Contact information

Practice address
2207 BOSTON ROAD, WILBRAHAM, MA 01095-1155
(413) 599-1201
(413) 596-2940
Mailing address
2207 BOSTON ROAD, WILBRAHAM, MA 01095-1155
(413) 599-1201
(413) 596-2940

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000008137
HEALTHNET
01
608730
TUFTS
01
6638
AET USHC
01
8404
CONNECTICARE
01
92810
FALLON HEALTH PLAN
01
969334
NETWORK HEALTH
05
9784098
MA
01
M16903
BCBS
Enumeration date
06/12/2006
Last updated
02/18/2011
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