Healthcare Provider Details

I. General information

NPI: 1720044977
Provider Name (Legal Business Name): MELINDA CONNORS P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FEDERAL ST STE 220
GREENFIELD MA
01301-2592
US

IV. Provider business mailing address

759 CHESTNUT STREET ATTN: TREASURY SERVICES
SPRINGFIELD MA
01199-1619
US

V. Phone/Fax

Practice location:
  • Phone: 413-225-2792
  • Fax: 833-941-2303
Mailing address:
  • Phone: 413-794-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA1632
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: