Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Gastroenterology and Nutrition Group, PC

Organization Pediatric Gastroenterology Physician · NPI 1164733093

Pediatric Gastroenterology and Nutrition Group, PC is a Pediatric Gastroenterology Physician in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3640 Main St Ste 204
Springfield, MA 01107-1145
Phone: (413) 304-2650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 233855 (MA)

Record details

NPI number1164733093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Goode — President · (347) 327-3874
NPI enumeratedJune 25, 2010
Last updated in NPPESJune 25, 2010
Mailing address3640 Main St, Suite 204, Springfield, MA 01107-1145

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