| Heather Wark Md Llc | |
|
548 Elm St Northampton MA 01060-2832 | |
| (413) 586-2832 | |
| Not Available |
| Full Name | Heather Wark Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 548 Elm St, Northampton, Massachusetts |
| Authorized Official Name and Position | Heather Wark (OWNER) |
| Authorized Official Contact | 4132374933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Wark Md Llc 145 Vernon St Northampton MA 01060-2818 Ph: () - | Heather Wark Md Llc 548 Elm St Northampton MA 01060-2832 Ph: (413) 586-2832 |
| NPI Number | 1871015750 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 07/12/2017 |
| Medicare PECOS PAC ID | 1850659384 |
|---|---|
| Medicare Enrollment ID | O20171211001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871015750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura M Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982769048 PECOS PAC ID: 1951336742 Enrollment ID: I20050929001165 |
| Provider Name | Heather L Wark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063422749 PECOS PAC ID: 1153339387 Enrollment ID: I20060330000261 |
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