New England Center For Functional Medicine Pc in Springfield - Obesity Medicine
New England Center For Functional Medicine Pc - NPI 1730202938
New England Center For Functional Medicine Pc is a Obesity Medicine in Springfield, Massachusetts. New England Center For Functional Medicine Pc practices all healthcare services and medical treatments related to Obesity 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 |
|---|---|
| Address | 2 Medical Center Dr, Springfield, Massachusetts |
| Phone Number | 4132051200 |
| Fax Number | 4132051220 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Keroack R Christopher |
| Credentials | MD |
| Telephone Number | 4132051200 |
NPI Number Detail
| NPI Number | 1730202938 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2022-11-07 |
Provider Mailing Address Detail
| Address | 2 Medical Center Dr |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 1107 |
| Phone Number | 4132051200 |
| Fax Number | 4132051220 |
Provider's Primary Taxonomy Detail
| Speciality | Obesity Medicine |
|---|---|
| Taxonomy | 207Rb0002X |
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Definition: A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 Obesity Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rb0002X.
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.