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1851521082
JOSE FERNANDO DIAZ
SPRINGFIELD, MA
NPI
1851521082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA PA3803)
Enumeration Date
2009-07-22
Last Update Date
2021-06-23
Business Address
Mr. JOSE FERNANDO DIAZ PA-C
300 STAFFORD ST STE 101
SPRINGFIELD, MA 01104-3581
Phone number: 413-732-1928
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Mailing Address
Mr. JOSE FERNANDO DIAZ PA-C
54 SUTTON PL
EAST LONGMEADOW, MA 01028-1470
Phone number: 413-395-7579
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