Organization
PAVILION HAND SURGEONS, INC
Active
Other names
The Hand Center of Western Massachusetts
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C WINT M.D. (PRESIDENT)
(413) 733-2204
Entity
Organization
Contact information
Practice address
115 ELM ST STE 208, ENFIELD, CT 06082-3735
(860) 698-6966
(413) 734-0587
Mailing address
3550 MAIN ST STE 204, SPRINGFIELD, MA 01107-1078
(413) 733-2204
(413) 734-0587
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871655662
NPI
MA
01
—
D100172348
MEDICARE PTAN
CT
01
—
M11285
MEDICARE PTAN
MA
Enumeration date
10/15/2014
Last updated
05/08/2015
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