Healthcare Provider Details

I. General information

NPI: 1043944945
Provider Name (Legal Business Name): MARTHA ESCOBAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 ATWOOD DR
NORTHAMPTON MA
01060-4266
US

IV. Provider business mailing address

8 ATWOOD DR
NORTHAMPTON MA
01060-4266
US

V. Phone/Fax

Practice location:
  • Phone: 413-236-5656
  • Fax:
Mailing address:
  • Phone: 413-236-5656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: