Organization
COMMONWEALTH CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA L CYSZ FNP, MPH, MSN, CHPN (NURSE PRACTITIONER)
(413) 887-5130
Entity
Organization
Contact information
Practice address
501 MAIN ST, HATFIELD, MA 01038-9753
(413) 244-0131
Mailing address
101 WASON AVE, SPRINGFIELD, MA 01107-1140
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
RN264992
MA
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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