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Individual

DONALD J. OSADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1619
(413) 794-5550
(413) 794-9294
Mailing address
280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 01199-1619
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001666
CT
363AS0400X
Surgical Physician Assistant
Primary
2048
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003016664
CT
Enumeration date
06/06/2007
Last updated
04/13/2012
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