| Western Mass Medical Group, Pc | |
|
100 Wason Avenue Suite 230 Springfield MA 01107 | |
| (413) 788-6139 | |
| (413) 737-1549 |
| Full Name | Western Mass Medical Group, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 Wason Avenue, Springfield, Massachusetts |
| Authorized Official Name and Position | Andrew Wetstone (MANAGING PARTNER) |
| Authorized Official Contact | 4137886139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Mass Medical Group, Pc 100 Wason Avenue Suite 230 Springfield MA 01107 Ph: (413) 788-6139 | Western Mass Medical Group, Pc 100 Wason Avenue Suite 230 Springfield MA 01107 Ph: (413) 788-6139 |
| NPI Number | 1447460654 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 12/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447460654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 45121 (Massachusetts) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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