Healthcare Provider Details

I. General information

NPI: 1386048379
Provider Name (Legal Business Name): HAMPSHIRE CARDIOVASCULAR ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2014
Last Update Date: 05/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 ATWOOD DR
NORTHAMPTON MA
01060-4272
US

IV. Provider business mailing address

PO BOX 587
GREENFIELD MA
01302-0587
US

V. Phone/Fax

Practice location:
  • Phone: 413-570-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES A ARCOLEO
Title or Position: PRESIDENT
Credential: DO
Phone: 413-570-4900