Healthcare Provider Details

I. General information

NPI: 1245427285
Provider Name (Legal Business Name): NOAH EPSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 03/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HOSPITAL DR SUITE 203
HOLYOKE MA
01040-6643
US

IV. Provider business mailing address

10 HOSPITAL DR SUITE 203
HOLYOKE MA
01040-6643
US

V. Phone/Fax

Practice location:
  • Phone: 413-536-5814
  • Fax: 413-536-3437
Mailing address:
  • Phone: 650-725-5903
  • Fax: 650-724-3044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number247466
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: