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NPI Code Detail

MEDICARE: DR. LOUIS A VELAZQUEZ MD

MEDICARE: DR. LOUIS A VELAZQUEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician204120MA

General Provider Information

NPI Number : 1154395556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS A VELAZQUEZ MD
Provider Business Mailing Address
First Line : 50 PLEASANT ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-4127
Country : US
Telephone Number : 413-584-6955
Fax Number :
Provider Business Practice Location Address
First Line : 50 PLEASANT ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-4127
Country : US
Telephone Number : 413-584-6955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 10/23/2020

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