Individual
DR. ELIZABETH A EAGLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
380 PLAINFIELD ST, SPRINGFIELD, MA 01107-1524
(413) 794-4458
(413) 794-5131
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
224614
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036803
NEIGHBORHOOD HEALTH PLAN
MA
05
—
03203156
—
NY
01
—
31750
BOSTON HEALTH NET
MA
01
—
EAJ29307
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/26/2006
Last updated
12/22/2017
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