NPI 1023360716

Adam J Iwanski, PA

Practitioner Physician Assistant Springfield, MA

Practice location

Address: 516 Carew St, Springfield, MA 01104-2330
Phone: (413) 787-2027
Fax: (413) 787-2012

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA4487 (MA)

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Registry record

NPI: 1023360716
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2012
Record last updated: 17 Mar 2018

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.