Individual
INNA BARABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
759 CHESTNUT STREET, SPRINGFIELD, MA 01107
(413) 794-5161
Mailing address
280 CHESTNUT STREET, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
(413) 794-1629
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
1433
NH
363AS0400X
Surgical Physician Assistant
3673
CT
363AS0400X
Surgical Physician Assistant
Primary
PA5951
MA
Other
Enumeration date
10/04/2016
Last updated
10/09/2019
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