Pediatric Gastroenterology & Nutrition Of Western Ma

LBN: Pediatric Gastroenterology & Nutrition Of Western Ma
Pediatric Gastroenterology & Nutrition Of Western Ma is an health care organization with primary practice located at 2 Medical Center Dr , Springfield MA 01107-1270. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Gastroenterology & Nutrition Of Western Ma can be contacted via phone (413) 733-4450, or through None, None via phone (800) 927-0002.

Contact Information

Primary practice address
2 Medical Center Dr Springfield MA 01107-1270
Phone: (413) 733-4450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: None, None Doctor of Medicine (MD)
Phone: (800) 927-0002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Massachusetts

Profile Details

NPI number 1093792533
LBN Legal business name Pediatric Gastroenterology & Nutrition Of Western Ma
DBA Doing business as
Authorized official None, None Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093792533 NPPES
Massachusetts MEDICAID 9710931

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