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1295289056
BAYSTATE NORTHERN EDGE ADULT MEDICINE
SPRINGFIELD, MA
NPI
1295289056
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Entity Type
Organization
Authorized Contact
EUGENE BOSS
Md
413-794-8777
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: MA 48101)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
BAYSTATE NORTHERN EDGE ADULT MEDICINE
3400 MAIN ST
SPRINGFIELD, MA 01199-1003
Phone number: 413-799-8777
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Mailing Address
BAYSTATE NORTHERN EDGE ADULT MEDICINE
3400 MAIN ST
SPRINGFIELD, MA 01199-1003
Phone number: 413-799-8777
Copy
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