Organization
MAGIC CARPET MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL A GRIFFIN MD (MEDICAL DIRECTOR)
(413) 588-6848
Entity
Organization
Contact information
Practice address
41 LOCUST ST, NORTHAMPTON, MA 01060-2544
(413) 588-6848
Mailing address
16 TAYLOR ST, NORTHAMPTON, MA 01060-1613
(413) 588-6848
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
156085
MA
Other
Enumeration date
01/25/2012
Last updated
02/19/2013
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