Individual
NIDA AFTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-3923
(413) 794-5349
Mailing address
759 CHESTNUT ST DEPT OF, SPRINGFIELD, MA 01199-1001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
292635
MA
Other
Enumeration date
04/28/2017
Last updated
12/16/2022
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