Organization
NEUROLOGICAL ASSOCIATES OF WESTERN MA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ALI HAZRATJI MD (PARTNER)
(413) 534-5135
Entity
Organization
Contact information
Practice address
15 HOSPITAL DR, SUITE 401, HOLYOKE, MA 01040-6606
(413) 534-5135
(413) 534-3328
Mailing address
15 HOSPITAL DR, SUITE 401, HOLYOKE, MA 01040-6606
(413) 534-5135
(413) 534-3328
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130000085
MEDICARE OF CT
CT
05
—
9715461
—
MA
01
—
DB5703
RAILROAD MEDICARE
MA
01
—
M17327
BS
MA
Enumeration date
11/29/2006
Last updated
06/05/2008
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