Organization
JAG GERIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UDAYA B JAGADEESAN M.D. (OWNER)
(413) 426-3862
Entity
Organization
Contact information
Practice address
770 CONVERSE ST, LONGMEADOW, MA 01106-1719
(413) 567-6213
Mailing address
PO BOX 60907, LONGMEADOW, MA 01116-5907
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
210498
MA
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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