Healthcare Provider Details

I. General information

NPI: 1356381784
Provider Name (Legal Business Name): HAMPSHIRE OB/GYN ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 05/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 LOCUST ST #1
NORTHAMPTON MA
01060-2018
US

IV. Provider business mailing address

61 LOCUST ST #1
NORTHAMPTON MA
01060-2018
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-2303
  • Fax: 413-586-3212
Mailing address:
  • Phone: 413-584-2303
  • Fax: 413-586-3212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: BARBARA D. JONES
Title or Position: TREASURER
Credential: MD
Phone: 413-584-2303