Pediatric Gastroenterology and Nutrition Group, P.c.
NPI #1164733093 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1164733093
- Entity Type
- Organization
- Organization Name
- Pediatric Gastroenterology and Nutrition Group, P.c.
- Primary Specialty
- Pediatrics - Pediatric Gastroenterology
- Enumeration Date
- Jun 25, 2010
- Last Updated
- Jun 25, 2010
Practice Location
- Address
- 3640 MAIN ST
- Address 2
- SUITE 204
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01107-1145
- Phone
- (413) 304-2650
Authorized Official
- Name
- DR. SUSAN P GOODE, M.D
- Title
- PRESIDENT
- Phone
- (347) 327-3874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Gastroenterology — Pediatric Gastroenterology |
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