Organization
MANOMEDNET INC.
Active
Other names
MANOMEDNET
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C ALLARD M.D. (PRESIDENT)
(413) 284-5243
Entity
Organization
Contact information
Practice address
40 WRIGHT ST, WING BAYSTATE RADIOLOGY, PALMER, MA 01069-1138
(413) 284-5243
Mailing address
379 SILVER ST, WILBRAHAM, MA 01095-9811
(413) 544-8998
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42902
MA
Other
Enumeration date
12/19/2014
Last updated
12/22/2014
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