Individual
MRS. LUCILLE GOUGH PASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
380 PLAINFIELD STREET, SPRINGFIELD, MA 01107-1524
(413) 794-4458
(413) 794-5131
Mailing address
280 CHESTNUT STREET, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA6167
MA
Other
Enumeration date
10/12/2006
Last updated
11/02/2018
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