| Impact Physician Group Massachusetts Pllc | |
|
45 Lower Westfield Rd Holyoke MA 01040-2747 | |
| (413) 315-4100 | |
| (844) 440-2328 |
| Full Name | Impact Physician Group Massachusetts Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Lower Westfield Rd, Holyoke, Massachusetts |
| Authorized Official Name and Position | Paul Miller (CEO) |
| Authorized Official Contact | 6789675599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physician Group Massachusetts Pllc Po Box 744577 Atlanta GA 30374-4577 Ph: (678) 967-5599 | Impact Physician Group Massachusetts Pllc 45 Lower Westfield Rd Holyoke MA 01040-2747 Ph: (413) 315-4100 |
| NPI Number | 1295533206 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 07/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295533206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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