Baystate Medical Practices, INC

NPI #1275690380 in Springfield, Massachusetts

Provider Information

NPI Number
1275690380
Entity Type
Organization
Organization Name
Baystate Medical Practices, INC
Subpart
Yes (part of a larger organization)
Parent Organization
BAYSTATE MEDICAL PRACTICES, INC
Primary Specialty
Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date
Jan 2, 2007
Last Updated
Feb 26, 2014

Practice Location

Address
759 CHESTNUT ST
ZIP Code
01199-1001
Phone
(413) 794-5700

Authorized Official

Name
RANDALL L VAILL JR.
Title
MANAGER PROVIDER ENROLLMENT
Phone
(413) 794-7976

Specialties & Taxonomy Codes

Specialty
Pathology - Blood Banking & Transfusion MedicineBlood Banking & Transfusion Medicine
Pathology - CytopathologyCytopathology
Pathology - DermatopathologyDermatopathology
Pathology - Medical MicrobiologyMedical Microbiology
Pathology - Anatomic PathologyAnatomic Pathology
Pathology - NeuropathologyNeuropathology
Pathology - HematologyHematology
Pathology - Clinical PathologyClinical Pathology
Pathology - Anatomic Pathology & Clinical PathologyAnatomic Pathology & Clinical Pathology

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