Healthcare Provider Details

I. General information

NPI: 1487636411
Provider Name (Legal Business Name): LINDA J PRESTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MAIN ST NORTHAMPTON HEALTH CENTER
FLORENCE MA
01062-1466
US

IV. Provider business mailing address

70 MAIN ST NORTHAMPTON HEALTH CENTER
FLORENCE MA
01062-1466
US

V. Phone/Fax

Practice location:
  • Phone: 413-586-8400
  • Fax: 413-585-5435
Mailing address:
  • Phone: 413-586-8400
  • Fax: 413-585-5435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number157480
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: