Organization
HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
Active
Organization
HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC A GOLDMAN MD (PRESIDENT/MD)
(413) 747-5546
Entity
Organization
Contact information
Practice address
354 BIRNIE AVE, SUITE 202, SPRINGFIELD, MA 01107-1108
(413) 733-3470
(413) 732-4216
Mailing address
354 BIRNIE AVE STE 202, SPRINGFIELD, MA 01107-1109
(413) 733-3470
(413) 732-4216
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003117464
—
CT
05
—
18064338
—
MA
01
—
M17181
GROUP BLUE CROSS
MA
Enumeration date
10/14/2005
Last updated
06/11/2013
Update your record
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