| Endocrine Associates Of Western Mass, P.c. | |
|
2 Medical Center Dr Ste. 210 Springfield MA 01107-1270 | |
| (413) 734-4661 | |
| (413) 737-1930 |
| Full Name | Endocrine Associates Of Western Mass, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Medical Center Dr, Springfield, Massachusetts |
| Authorized Official Name and Position | Barry Z Izenstein (PRESIDENT) |
| Authorized Official Contact | 4137344661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Associates Of Western Mass, P.c. 2 Medical Center Dr Ste. 210 Springfield MA 01107-1270 Ph: (413) 734-4661 | Endocrine Associates Of Western Mass, P.c. 2 Medical Center Dr Ste. 210 Springfield MA 01107-1270 Ph: (413) 734-4661 |
| NPI Number | 1396766424 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 02/20/2009 |
| Medicare PECOS PAC ID | 3971546599 |
|---|---|
| Medicare Enrollment ID | O20050606000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396766424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Marc Vanderleeden |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801883194 PECOS PAC ID: 1658327663 Enrollment ID: I20050323000466 |
| Provider Name | Barry Izenstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346237583 PECOS PAC ID: 2062455686 Enrollment ID: I20050621000522 |
| Provider Name | Kimberly A Browne Martin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174510465 PECOS PAC ID: 4789627308 Enrollment ID: I20110218000345 |
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