Baystate Orthopedics, INC
Specialist in Springfield, MA. Organization (NPI-2).
NPI number1629280490
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1629280490
- Entity type
- Organization (NPI-2)
- Legal business name
- Baystate Orthopedics, INC
- Organization subpart
- No
- Enumeration date
- May 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
3455 Main St Ste 2Springfield, MA 01107-1147
Phone 413-746-9142
Mailing address
3455 Main St Ste 2Springfield, MA 01107-1147
Phone 413-746-9142
Authorized official
Alan H Bullock
President
4137469142
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