Organization
PIONEER VALLEY SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT I ALEXANDER MD (PRESIDENT)
(413) 736-3163
Entity
Organization
Contact information
Practice address
2 MEDICAL CENTER DR STE 404, SPRINGFIELD, MA 01107-1272
(413) 736-3163
(413) 733-0206
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072435A
—
MA
01
—
M16525
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/16/2006
Last updated
07/13/2016
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