Individual
JUSTIN MICHAEL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9000
Mailing address
225 LOWER RD, DEERFIELD, MA 01342-9733
(413) 297-7545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2356842
MA
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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