| Jag Geriatrics Pc | |
|
770 Converse St Longmeadow MA 01106-1719 | |
| (413) 567-6213 | |
| Not Available |
| Full Name | Jag Geriatrics Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 770 Converse St, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Udaya B Jagadeesan (OWNER) |
| Authorized Official Contact | 4134263862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jag Geriatrics Pc Po Box 60907 Longmeadow MA 01116-5907 Ph: () - | Jag Geriatrics Pc 770 Converse St Longmeadow MA 01106-1719 Ph: (413) 567-6213 |
| NPI Number | 1467883124 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 12/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467883124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 210498 (Massachusetts) | Primary |
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