New England Center For Functional Medicine Pc in Springfield - Internal Medicine
New England Center For Functional Medicine Pc - NPI 1730202938
New England Center For Functional Medicine Pc is a Internal Medicine in Springfield, Massachusetts. New England Center For Functional Medicine Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for New England Center For Functional Medicine Pc is 1730202938. The last update date is 2022-11-07.
New England Center For Functional Medicine Pc's current location address is 2 Medical Center Dr, Springfield, Massachusetts. You can contact this provider via phone number 4132051200 and fax number 4132051220. The mailing address for New England Center For Functional Medicine Pc is 2 Medical Center Dr, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Organization | New England Center For Functional Medicine Pc |
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Address | 2 Medical Center Dr, Springfield, Massachusetts |
Phone Number | 4132051200 |
Fax Number | 4132051220 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Keroack R Christopher |
Credentials | MD |
Telephone Number | 4132051200 |
NPI Number Detail
NPI Number | 1730202938 |
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Provider Enumeration Date | 2007-04-10 |
Last Updated Date | 2022-11-07 |
Provider Mailing Address Detail
Address | 2 Medical Center Dr |
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City | Springfield |
State | Massachusetts (MA) |
Post Code | 1107 |
Phone Number | 4132051200 |
Fax Number | 4132051220 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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M19415 | MA | BCBS |
Post Comment/ Review Below
What is the New England Center For Functional Medicine Pc's 1730202938?
The New England Center For Functional Medicine Pc's NPI (National Provider Identifier) Number is 1730202938. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where New England Center For Functional Medicine Pc is physically located?
The New England Center For Functional Medicine Pc is physically situated at the following address: 2 Medical Center Dr, Springfield, MA, 1107.
What is New England Center For Functional Medicine Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for New England Center For Functional Medicine Pc is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the New England Center For Functional Medicine Pc receive the assignment of its 1730202938 from the Centers for Medicare & Medicaid Services?
The New England Center For Functional Medicine Pc was issued its 1730202938 by the Centers for Medicare & Medicaid Services on 2007-04-10.
As of what date were the details pertaining to New England Center For Functional Medicine Pc last refreshed?
The information related to the New England Center For Functional Medicine Pc, including its address, specialty, and other relevant details, was last updated on 2022-11-07.