Healthcare Provider Details

I. General information

NPI: 1952361768
Provider Name (Legal Business Name): ASSOCIATED SURGEONS OF GREENFIELD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 HIGH ST
GREENFIELD MA
01301-2614
US

IV. Provider business mailing address

157 HIGH ST
GREENFIELD MA
01301-2614
US

V. Phone/Fax

Practice location:
  • Phone: 413-772-0172
  • Fax:
Mailing address:
  • Phone: 413-772-0172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN MCCLELLAND
Title or Position: PRESIDENT
Credential: M.D.
Phone: 413-772-0172