Organization
ADVANCED MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMELA BONAVITA (OFFICE MANAGER)
(413) 732-0088
Entity
Organization
Contact information
Practice address
155 UNION ST, SPRINGFIELD, MA 01105-2010
(413) 732-0088
Mailing address
155 UNION ST, SPRINGFIELD, MA 01105-2010
(413) 732-0088
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
60569
MA
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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