NPI 1164417929

Gregory J Faust, MD

Practitioner Specialist Springfield, MA

Practice location

Address: 3640 Main St Suite 205, Springfield, MA 01107-1145
Phone: (413) 739-7367
Fax: (413) 737-2686

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 73286 (MA)

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Registry record

NPI: 1164417929
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2005
Record last updated: 23 May 2014

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.