Connor Rolland Sampson
Student in an Organized Health Care Education/Training Program in North Adams, MA. Individual provider (NPI-1).
NPI number1366091969
StatusActive
Last updated in NPPESSep 5, 2019
Details
- NPI
- 1366091969
- Entity type
- Individual (NPI-1)
- Name
- Connor Rolland Sampson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2019
- Last updated
- Sep 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
375 Church StNorth Adams, MA 01247-4124
Phone 413-662-5000
Mailing address
470 Shea StFitchburg, MA 01420-4854
Phone 508-395-1890
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