Individual
MARCIA W VANVLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
164 HIGH STREET, GREENFIELD, MA 01301
(413) 772-0211
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
265603
MA
208000000X
Pediatrics Physician
MD11238
RI
Other
Enumeration date
07/19/2006
Last updated
10/08/2019
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