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NPI Code Detail

MEDICARE: MARY PAT ROY, MD, LLC

MEDICARE: MARY PAT ROY, MD, LLC
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number : 1841235918
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARY PAT ROY, MD, LLC
Provider Business Mailing Address
First Line : 766 N KING ST
Second Line : #1
City : NORTHAMPTON
State : MA
Zip : 01060-1142
Country : US
Telephone Number : 413-586-0611
Fax Number : 413-586-4441
Provider Business Practice Location Address
First Line : 766 N KING ST
Second Line : #1
City : NORTHAMPTON
State : MA
Zip : 01060-1142
Country : US
Telephone Number : 413-586-0611
Fax Number : 413-586-4441
Authorized Official
Title or Position : PRACTICE MANAGER/OWNER
Name : MARY PATRICIA ROY
Credential : MD
Telephone Number : 413-586-0611
Provider Enumeration Date : 06/20/2006
Last Update Date : 10/04/2007

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