Maxillofacial & Implant Surgery Of Western Mass Pc
Specialty details in registry · East Longmeadow, MA
At a glance
382 N Main St Ste 202, East Longmeadow, MA 01028-1830
NPPES record updated Apr 21, 2021. Public records can lag behind changes at a practice.
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Practice location
382 N Main St Ste 202East Longmeadow, MA 01028-1830
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223S0112X
- Enumeration date
- Dec 30, 2020
- Record updated
- Apr 21, 2021
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
1223S0112X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
382 N Main St Ste 202East Longmeadow, MA 01028-1830
- Phone
- (413) 525-0100
- Fax
- (413) 525-8608
Mailing address
382 N MAIN ST STE 202EAST LONGMEADOW, MA 010281830
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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