| Hampshire Neurology Llc | |
|
31 Campus Plaza Rd Ste B Hadley MA 01035-9534 | |
| (413) 406-3033 | |
| (413) 387-0560 |
| Full Name | Hampshire Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 31 Campus Plaza Rd Ste B, Hadley, Massachusetts |
| Authorized Official Name and Position | Michael Rossen (OFFICER) |
| Authorized Official Contact | 4134063033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampshire Neurology Llc 31 Campus Plaza Rd Ste B Hadley MA 01035-9534 Ph: (413) 406-3033 | Hampshire Neurology Llc 31 Campus Plaza Rd Ste B Hadley MA 01035-9534 Ph: (413) 406-3033 |
| NPI Number | 1417475336 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 2365708948 |
|---|---|
| Medicare Enrollment ID | O20171115000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417475336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 219984 (Massachusetts) | Primary |
| Provider Name | Michael L Rossen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689675761 PECOS PAC ID: 4486624947 Enrollment ID: I20040730000551 |
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