Individual
MRS. GALE M MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3377 MAIN ST, SPRINGFIELD, MA 01107-1111
(413) 734-5661
(413) 734-8947
Mailing address
3377 MAIN ST, SPRINGFIELD, MA 01107-1111
(413) 734-5661
(413) 734-8947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
155497
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP241901
MEDICARE PTAN
MA
Enumeration date
10/11/2005
Last updated
07/22/2008
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