| Northampton Neurology, Llc | |
|
69 State St Northampton MA 01060-3049 | |
| (413) 586-8156 | |
| Not Available |
| Full Name | Northampton Neurology, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 69 State St, Northampton, Massachusetts |
| Authorized Official Name and Position | Jeanine Downie (CREDENTIALS SPECIALIST) |
| Authorized Official Contact | 4135822342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northampton Neurology, Llc 69 State St Northampton MA 01060-3049 Ph: () - | Northampton Neurology, Llc 69 State St Northampton MA 01060-3049 Ph: (413) 586-8156 |
| NPI Number | 1245362177 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 09/06/2007 |
| Medicare PECOS PAC ID | 4183678626 |
|---|---|
| Medicare Enrollment ID | O20050308001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245362177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | John J Oconnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417932542 PECOS PAC ID: 3971565599 Enrollment ID: I20041027000277 |
| Provider Name | Kelly Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255880753 PECOS PAC ID: 6305122862 Enrollment ID: I20170418000128 |
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