Individual
EDWARD ESTOMIH MTUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BAYSTATE MEDICAL CTR, 759 CHESTNUT STREET, SPRINGFIELD, MA 01199-1001
(413) 794-0000
(413) 794-4382
Mailing address
BAYSTATE MEDICAL CTR, 759 CHESTNUT STREET, SPRINGFIELD, MA 01199-0001
(413) 794-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
264706
MA
2085R0202X
Diagnostic Radiology Physician
Primary
312074
NY
390200000X
Student in an Organized Health Care Education/Training Program
264706
MA
Other
Enumeration date
06/30/2015
Last updated
07/16/2021
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