Individual
SVETLANA PUZANKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
75 SPRINGFIELD RD, SUITE 1, WESTFIELD, MA 01085-1790
(413) 562-5173
(413) 562-1716
Mailing address
75 SPRINGFIELD RD, SUITE 1, WESTFIELD, MA 01085-1790
(413) 562-5173
(413) 562-1716
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA4515
MA
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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