Organization
BAYSTATE MEDICAL PRACTICE, INC
Active
Organization
BAYSTATE MEDICAL PRACTICE, INC
Active
Other names
Baystate/BMP ART/IVF
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A. CREMONTI (DIRECTOR MEDICAL STAFF SERVICES)
(413) 794-5508
Entity
Organization
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1000
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M16667
BC BS GROUP NUMBER
MA
Enumeration date
05/14/2008
Last updated
10/14/2010
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