MEDICARE: MWA, PC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841301983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MWA, PC

Provider Business Mailing Address
First Line	:	1029 NORTH RD
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-9711
Country	:	US
Telephone Number	:	413-533-2900
Fax Number	:	413-535-4551

Provider Business Practice Location Address
First Line	:	1029 NORTH RD
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-9711
Country	:	US
Telephone Number	:	413-533-2900
Fax Number	:	413-535-4551

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT L LOUNSBURY
Credential	:	MD
Telephone Number	:	413-789-8000

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/20/2009

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