Western New England University Sports Medicine | |
1215 Wilbraham Rd Springfield MA 01119-2612 | |
(413) 782-1202 | |
(972) 367-3451 |
Full Name | Western New England University Sports Medicine |
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Speciality | Internal Medicine |
Location | 1215 Wilbraham Rd, Springfield, Massachusetts |
Authorized Official Name and Position | Mouzon Bass (AGENT) |
Authorized Official Contact | 9723674845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Western New England University Sports Medicine Po Box 650850 Dept 1011 Dallas TX 75265-0850 Ph: (972) 367-4845 | Western New England University Sports Medicine 1215 Wilbraham Rd Springfield MA 01119-2612 Ph: (413) 782-1202 |
NPI Number | 1356713572 |
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Provider Enumeration Date | 10/27/2015 |
Last Update Date | 10/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356713572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Secondary |
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