Organization
AMBULATORY CARE PHYSICIANS AT CDH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND CONWAY M.D. (MEDICAL DIRECTOR-EMERGENCY DEPARTME)
(413) 582-2363
Entity
Organization
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2363
(413) 582-2914
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2363
(413) 582-2914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9786953
—
MA
01
—
M17460
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
05/11/2006
Last updated
08/22/2020
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