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Individual

DR. MICHAEL P NOONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9137
(413) 452-6049
Mailing address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9137
(413) 452-6049

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
203522
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000033562
HEALTHNET
MA
05
0149021
MA
01
470290
TUFTS
MA
01
J22133
BCBS
MA
01
P00314117
RAILROAD MEDICARE
MA
Enumeration date
09/22/2006
Last updated
06/17/2010
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