| NPI | 1740740737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A WAGNER Vice President Of Finance And Admin 413-782-1219 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |