Organization
UROLOGY GROUP OF WESTERN NEW ENGLAND, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD R MOSTAFAVI M.D. (PRESIDENT)
(413) 785-5321
Entity
Organization
Contact information
Practice address
3640 MAIN ST, SUITE 103, SPRINGFIELD, MA 01107-1145
(413) 785-5321
(413) 731-7130
Mailing address
3640 MAIN ST, SUITE 103, SPRINGFIELD, MA 01107-1145
(413) 785-5321
(413) 731-7130
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
06/15/2021
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