Baystate Northern Edge Adult Medicine
Baystate Northern Edge Adult Medicine is a Point of Service in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.
- Licensed in
- MA
- In the registry since
- 2016
Practice location Address checks out
3400 Main StSpringfield, MA 01199-1003
Phone: (413) 799-8777
Fax: (413) 799-8266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence 48101 (MA) |
|---|
Record details
| NPI number | 1295289056 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eugene Boss — Md · (413) 794-8777 |
| NPI enumerated | August 10, 2016 |
| Last updated in NPPES | August 10, 2016 |
| Mailing address | 3400 Main St, Springfield, MA 01199-1003 |
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