Individual
CHARLES J STRECIWILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
340 MONTAGUE CITY ROAD, FARREN CARE CENTER, TURNERS FALLS, MA 01376
(413) 774-3111
Mailing address
PO BOX 910, GREENFIELD, MA 01302-0910
(413) 772-8500
(413) 772-8900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
128700
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312240
—
MA
01
—
25339
BMC HEALTHNET
MA
01
—
NP0608
BC/BS MA
MA
Enumeration date
08/09/2006
Last updated
07/08/2007
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