Healthcare Provider Details

I. General information

NPI: 1215331384
Provider Name (Legal Business Name): JULIA ROSE FIORE MHS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SILVER ST UNIT 106
AGAWAM MA
01001-3067
US

IV. Provider business mailing address

200 SILVER ST UNIT 106
AGAWAM MA
01001-3067
US

V. Phone/Fax

Practice location:
  • Phone: 413-341-5350
  • Fax: 413-341-5335
Mailing address:
  • Phone: 413-341-5350
  • Fax: 413-341-5335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA5183
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: