Organization
JUDITH FINE/DBA/ GAZEBO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH I FINE (OWNER)
(413) 584-6673
Entity
Organization
Contact information
Practice address
14 CENTER ST, NORTHAMPTON, MA 01060-3005
(413) 584-6673
(413) 584-0195
Mailing address
14 CENTER ST, NORTHAMPTON, MA 01060-3005
(413) 584-6673
(413) 584-0195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12562
HEALTH NEW ENGLAND PROVID
MA
01
—
393054
BLUE CROSS PROVIDER NUMBE
MA
01
—
703215
HARVARD PILGRIM PROVIDER
MA
01
—
805533
TUFTS PROVIDER NUMBER
MA
Enumeration date
02/18/2007
Last updated
06/20/2008
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