Individual
SOLMAZ MASOUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 ALLEN ST, SUITE B, SPRINGFIELD, MA 01118-1803
(413) 782-7646
(413) 782-7558
Mailing address
1515 ALLEN ST, SUITE B, SPRINGFIELD, MA 01118-1803
(413) 782-7646
(413) 782-7558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5726
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043237669
—
MA
Enumeration date
05/10/2016
Last updated
05/10/2016
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