Individual
ANDREW KENNETH ELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-0000
Mailing address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-2310
(413) 794-0000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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