Healthcare Provider Details

I. General information

NPI: 1720064983
Provider Name (Legal Business Name): ANN MARIA LABAR ELDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 STATE ST
LUDLOW MA
01056
US

IV. Provider business mailing address

819 WORCESTER ST SUITE 3
SPRINGFIELD MA
01151-1045
US

V. Phone/Fax

Practice location:
  • Phone: 413-308-3300
  • Fax:
Mailing address:
  • Phone: 413-543-6820
  • Fax: 413-543-7962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2026-02001
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number81132
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number81132
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2026-02001
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: