Genesis Eldercare Physician Services Llc in Agawam - Geriatric Medicine
Genesis Eldercare Physician Services Llc - NPI 1104819259
Genesis Eldercare Physician Services Llc is a Geriatric Medicine in Agawam, Massachusetts. Genesis Eldercare Physician Services Llc practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Genesis Eldercare Physician Services Llc is 1104819259. The last update date is 2019-08-05.
Genesis Eldercare Physician Services Llc's current location address is 464 Main St, Agawam, Massachusetts. You can contact this provider via phone number 4137868000 and fax number 4137891099. The mailing address for Genesis Eldercare Physician Services Llc is 464 Main St, Agawam, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genesis Eldercare Physician Services Llc |
|---|---|
| Address | 464 Main St, Agawam, Massachusetts |
| Phone Number | 4137868000 |
| Fax Number | 4137891099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP, CONTRO |
|---|---|
| Authorized Official Name | Shapiro Eric |
| Telephone Number | 4108327790 |
NPI Number Detail
| NPI Number | 1104819259 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2019-08-05 |
Provider Mailing Address Detail
| Address | 464 Main St |
|---|---|
| City | Agawam |
| State | Massachusetts (MA) |
| Post Code | 1001 |
| Phone Number | 4137868000 |
| Fax Number | 4137891099 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 75866 |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9770917 | MA | -- |
Post Comment/ Review Below
What is the Genesis Eldercare Physician Services Llc's unique identification number?
The Genesis Eldercare Physician Services Llc has been assigned the NPI (National Provider Identifier) Number 1104819259 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Genesis Eldercare Physician Services Llc is located?
The Genesis Eldercare Physician Services Llc is situated at the following address: 464 Main St, Agawam, MA, 1001.
What is Genesis Eldercare Physician Services Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Genesis Eldercare Physician Services Llc is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Rg0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104819259 to Genesis Eldercare Physician Services Llc?
The Centers for Medicare & Medicaid Services originally issued the 1104819259 to Genesis Eldercare Physician Services Llc on 2005-08-24.
When was the information related to Genesis Eldercare Physician Services Llc most recently updated or refreshed?
The details pertaining to the Genesis Eldercare Physician Services Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-08-05.