Organization
MAPLE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN GERSTEIN MD (OWNER)
(413) 734-6400
Entity
Organization
Contact information
Practice address
300 STAFFORD ST, SUITE 101, SPRINGFIELD, MA 01104-3581
(413) 734-6400
Mailing address
PO BOX 61137, LONGMEADOW, MA 01116-6137
(413) 734-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27143
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9708359
—
MA
Enumeration date
02/20/2007
Last updated
08/22/2020
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