Samuel Antiles, M.D., Inc.

LBN: Samuel Antiles, M.D., Inc.
Samuel Antiles, M.D., Inc. is an health care organization with primary practice located at 133 Maple St , Springfield MA 01105-1896. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Samuel Antiles, M.D., Inc. can be contacted via phone (413) 732-9201, or through Antiles, Samuel via phone (413) 732-9201.

Contact Information

Primary practice address
133 Maple St Springfield MA 01105-1896
Phone: (413) 732-9201
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Antiles, Samuel Doctor of Medicine (MD)
Phone: (413) 732-9201

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30432 Massachusetts

Profile Details

NPI number 1629129036
LBN Legal business name Samuel Antiles, M.D., Inc.
DBA Doing business as
Authorized official Antiles, Samuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2007
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 1629129036 NPPES
Massachusetts MEDICAID 9710582

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