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Individual

DANIEL MICHAEL LEARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3455 MAIN ST STE 5, SPRINGFIELD, MA 01107-1142
(413) 733-9600
(413) 732-6534
Mailing address
3455 MAIN ST STE 5, SPRINGFIELD, MA 01107-1142
(413) 788-0532
(413) 562-1154

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01127
RI
363A00000X
Physician Assistant
Primary
PA7337
MA

Other

Enumeration date
03/04/2019
Last updated
10/08/2021
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