Healthcare Provider Details

I. General information

NPI: 1700849437
Provider Name (Legal Business Name): HOLYOKE ORTHOPEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HOSPITAL DR SUITE 201
HOLYOKE MA
01040-6603
US

IV. Provider business mailing address

10 HOSPITAL DR SUITE 201
HOLYOKE MA
01040-6603
US

V. Phone/Fax

Practice location:
  • Phone: 413-534-1040
  • Fax: 413-536-3437
Mailing address:
  • Phone: 413-534-1040
  • Fax: 413-536-3437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. AMY BEDORE
Title or Position: OFFICE MANAGER
Credential:
Phone: 413-534-1040