Organization
MYOMEDICINE, LLC
Active
Other names
Myomedicine, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA COLBERT MD (MEDICAL DIRECTOR)
(413) 320-4811
Entity
Organization
Contact information
Practice address
90 CONZ ST, NORTHAMPTON, MA 01060-3881
(413) 320-4811
Mailing address
24 OLD LONG PLAIN RD, LEVERETT, MA 01054-9519
(413) 320-4811
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720372931
NPI
MA
Enumeration date
11/30/2021
Last updated
11/30/2021
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