| Internal Medicine Pc | |
|
377 Walnut Street Extension Agawam MA 01001 | |
| (413) 786-7217 | |
| (413) 786-7219 |
| Full Name | Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 377 Walnut Street Extension, Agawam, Massachusetts |
| Authorized Official Name and Position | Lynn A Mcdonald (COMPTROLLER) |
| Authorized Official Contact | 4137864700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Pc Po Box 788 377 Walnut Street Extension Agawam MA 01001 Ph: (413) 786-7217 | Internal Medicine Pc 377 Walnut Street Extension Agawam MA 01001 Ph: (413) 786-7217 |
| NPI Number | 1275593758 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275593758 | NPI | - | NPPES |
| INM12149 | Other | MA | BCBS MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Genesis Eldercare Physician Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 464 Main St, Heritage Hall East, Agawam, MA 01001 Phone: 413-786-8000 Fax: 413-789-1099 |