Organization
CARDIAC SURGICAL ASSOCIATES OF WESTERN MA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T. ENGELMAN M.D. (PRESIDENT)
41379455550
Entity
Organization
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01107-1619
(413) 794-5550
(413) 794-4212
Mailing address
PO BOX 906, WILBRAHAM, MA 01095-0906
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013239
NEIGHBORHOOD HEALTH PLAN
MA
01
—
607540
TUFTS
MA
05
—
9745068
—
MA
01
—
M14081
BLUE CROSS OF MA
MA
Enumeration date
07/09/2006
Last updated
02/18/2008
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