| |
81 Willimansett St, South Hadley, MA 01075-3000 | |
(413) 536-0912 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Prosthetic/orthotic Supplier |
Location | 81 Willimansett St, South Hadley, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114101110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 1786 (Massachusetts) | Secondary |
335E00000X | Prosthetic/orthotic Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 10417, Holyoke, MA 01041-2017 Ph: (413) 540-0150 | 81 Willimansett St, South Hadley, MA 01075-3000 Ph: (413) 536-0912 |