| Mwa,pc | |
|
1109 Granby Rd Chicopee MA 01020-1568 | |
| (413) 523-0814 | |
| (413) 523-0830 |
| Full Name | Mwa,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1109 Granby Rd, Chicopee, Massachusetts |
| Authorized Official Name and Position | Richard A Shuman (PRESIDENT) |
| Authorized Official Contact | 4135230814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mwa,pc 1109 Granby Rd Chicopee MA 01020-1568 Ph: (413) 523-0814 | Mwa,pc 1109 Granby Rd Chicopee MA 01020-1568 Ph: (413) 523-0814 |
| NPI Number | 1609821990 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 03/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609821990 | NPI | - | NPPES |
| 9782613 | Medicaid | MA | |
| 110022160/E | Medicaid | MA |
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