| Samuel Antiles, M.d., Inc. | |
|
133 Maple St Springfield MA 01105-1896 | |
| (413) 732-9201 | |
| Not Available |
| Full Name | Samuel Antiles, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 Maple St, Springfield, Massachusetts |
| Authorized Official Name and Position | Samuel Antiles (PRESIDENT) |
| Authorized Official Contact | 4137329201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Antiles, M.d., Inc. 133 Maple St Springfield MA 01105-1896 Ph: (413) 732-9201 | Samuel Antiles, M.d., Inc. 133 Maple St Springfield MA 01105-1896 Ph: (413) 732-9201 |
| NPI Number | 1629129036 |
|---|---|
| Provider Enumeration Date | 01/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629129036 | NPI | - | NPPES |
| 9710582 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30432 (Massachusetts) | Primary |
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