Individual
AMANDA DIANE REISBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TECHNOLOGY CENTER DR, STOUGHTON, MA 02072-4710
(781) 566-5066
Mailing address
461 PORTER RD, EAST LONGMEADOW, MA 01028-1443
(413) 478-5400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239027
MA
183700000X
Pharmacy Technician
PI162065
MA
Other
Enumeration date
01/16/2018
Last updated
05/26/2026
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