NPI 1295289056

Baystate Northern Edge Adult Medicine

Organisation Point of Service Springfield, MA

Practice location

Address: 3400 Main St, Springfield, MA 01199-1003
Phone: (413) 799-8777
Fax: (413) 799-8266

Authorised official

Name: Eugene Boss
Title: MD
Phone: (413) 794-8777

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 48101 (MA)

Other Point of Service providers in Massachusetts →

Registry record

NPI: 1295289056
Entity type: Organization
NPI issued: 10 Aug 2016
Record last updated: 10 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.