Genesis Eldercare Physician Services LLC
NPI #1104819259 in Agawam, Massachusetts
Provider Information
- NPI Number
- 1104819259
- Entity Type
- Organization
- Organization Name
- Genesis Eldercare Physician Services LLC
- Primary Specialty
- Internal Medicine - Geriatric Medicine
- Enumeration Date
- Aug 24, 2005
- Last Updated
- Aug 5, 2019
Practice Location
- Address
- 464 MAIN ST
- Address 2
- HERITAGE HALL EAST
- City
- Agawam
- State
- Massachusetts
- ZIP Code
- 01001
- Phone
- (413) 786-8000
Authorized Official
- Name
- ERIC SHAPIRO
- Title
- VP, CONTROLLER
- Phone
- (410) 832-7790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
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