Organization
SPRINGFIELD PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ETHEL EVALES MD (PEDIATRICIAN)
(413) 747-5437
Entity
Organization
Contact information
Practice address
299 CAREW STREET, SUITE 126 FIRST FLOOR, SPRINGFIELD, MA 01104
(413) 747-5437
(413) 747-5433
Mailing address
299 CAREW STREET, SUITE 126 FIRST FLOOR, SPRINGFIELD, MA 01104
(413) 747-5437
(413) 747-5433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140423
—
MA
Enumeration date
10/17/2007
Last updated
10/17/2007
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