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Individual

DR. ELIZABETH T ARSENIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
299 CAREW ST, SUITE 201, SPRINGFIELD, MA 01104-2301
(413) 736-1833
(413) 736-1833
Mailing address
299 CAREW ST, SUITE 201, SPRINGFIELD, MA 01104-2301
(413) 736-1833
(413) 736-1833

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
54982
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043119812
TAX I.D.
MA
01
1053503912
MEDICARE GROUP NPI
MA
01
1457444226
MEDICARE NPI
MA
05
6199356
MA
01
S400158316
MEDICARE PTAN
MA
Enumeration date
10/02/2006
Last updated
04/28/2015
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