| Visiting Doctor | |
|
168 Industrial Dr Northampton MA 01060 | |
| (413) 584-1060 | |
| (413) 584-9615 |
| Full Name | Visiting Doctor |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 168 Industrial Dr, Northampton, Massachusetts |
| Authorized Official Name and Position | Carla Maria Braveman (CEO EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4135841060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Doctor 168 Industrial Dr Northampton MA 01060 Ph: (413) 584-1060 | Visiting Doctor 168 Industrial Dr Northampton MA 01060 Ph: (413) 584-1060 |
| NPI Number | 1568422426 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568422426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
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