Individual
DR. JOSEPH E. FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
(413) 598-7014
Mailing address
1300 HALL BLVD FL 3, BLOOMFIELD, CT 06002-2918
(860) 714-9137
(860) 714-8610
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
70671
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110047053A
—
MA
Enumeration date
07/17/2006
Last updated
04/23/2018
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