Western New England University

NPI #1356713572 in Springfield, Massachusetts

Provider Information

NPI Number
1356713572
Entity Type
Organization
Organization Name
Western New England University
Primary Specialty
Internal Medicine
Enumeration Date
Oct 27, 2015
Last Updated
Oct 27, 2015

Practice Location

Address
1215 WILBRAHAM RD
ZIP Code
01119-2612
Phone
(413) 782-1202

Authorized Official

Name
MOUZON BASS III
Title
AGENT
Phone
(972) 367-4845

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Sports MedicineSports Medicine
Internal Medicine

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