Inna Baraban, PA-C
Physician Assistant, Surgical in Springfield, MA. Individual provider (NPI-1).
NPI number1609326552
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1609326552
- Entity type
- Individual (NPI-1)
- Name
- Inna Baraban
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2016
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA5951 | MA | Yes |
| 363AS0400X | Physician Assistant, Surgical | 3673 | CT | |
| 363AS0400X | Physician Assistant, Surgical | 1433 | NH |
Practice location
759 Chestnut StreetSpringfield, MA 01107
Phone 413-794-5161
Mailing address
280 Chestnut Street2nd Fl
Springfield, MA 01199-1001
Phone 413-794-5700 · Fax 413-794-1629
Other practice locations
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