Baystate Medical Practices, INC
NPI #1417013830 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1417013830
- Entity Type
- Organization
- Organization Name
- Baystate Medical Practices, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BAYSTATE MEDICAL PRACTICES, INC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Feb 26, 2014
Practice Location
- Address
- 759 CHESTNUT ST
- City
- Springfield
- State
- Massachusetts
- 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 |
|---|
| Family Medicine |
| Emergency Medicine |
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