Aidan Daniel Pender, PA
Physician Assistant, Medical in Springfield, MA. Individual provider (NPI-1).
NPI number1275118564
StatusActive
Last updated in NPPESApr 16, 2021
Details
- NPI
- 1275118564
- Entity type
- Individual (NPI-1)
- Name
- Aidan Daniel Pender
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2021
- Certification date
- Apr 16, 2021
- Last updated
- Apr 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA8041 | MA | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
759 Chestnut StSpringfield, MA 01107-1619
Phone 413-794-6297
Mailing address
280 Chestnut St Fl 2Springfield, MA 01199-1001
Phone 413-794-5700
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