Liberty Street Facility
NPI #1902963705 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1902963705
- Entity Type
- Organization
- Organization Name
- Liberty Street Facility
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 125 LIBERTY ST
- Address 2
- SUITE 206
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01103-1114
- Phone
- (413) 746-4800
Authorized Official
- Name
- DAVID M CHADBOURNE, MD
- Title
- OWNER
- Phone
- (413) 746-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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