Organization
VASCULAR LABORATORY OF WESTERN NEW ENGLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LAWRENCE KAUFMAN M.D. (MANAGING PARTNER)
(413) 784-0900
Entity
Organization
Contact information
Practice address
3500 MAIN ST, SUITE 202, SPRINGFIELD, MA 01107-1110
(413) 784-0900
(413) 781-5035
Mailing address
3500 MAIN ST, SUITE 202, SPRINGFIELD, MA 01107-1110
(413) 784-0900
(413) 781-5035
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9784187
—
MA
Enumeration date
11/18/2005
Last updated
08/22/2020
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