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Gregory B Park, M.D.

Physical Medicine & Rehabilitation in West Springfield, MA. Individual provider (NPI-1).

NPI number1255445151
StatusActive
Last updated in NPPESMar 11, 2013

Details

NPI
1255445151
Entity type
Individual (NPI-1)
Name
Gregory B Park
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 18, 2006
Last updated
Mar 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation216754MAYes

Practice location

271 Park St
West Springfield, MA 01089-3311

Phone 413-785-1153

Mailing address

271 Park St
West Springfield, MA 01089-3311

Phone 413-785-1153

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