| NPI | 1548205909 |
|---|---|
| Former Legal Business Name | BAYSTATE MEDICAL EDUCATION & RESEARCH FOUNDATION, INC. |
| Entity Type | Organization |
| Authorized Contact | JUSTIN CHOINIERE Manager Provider Enrollment 413-794-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 208600000X Surgery | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 000000) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2023-11-27 |