Healthcare Provider Details
I. General information
NPI: 1811974041
Provider Name (Legal Business Name): DAVID A. STEELE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/29/2005
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
193 LOCUST ST STE. 2
NORTHAMPTON MA
01060-2066
US
IV. Provider business mailing address
193 LOCUST ST STE. 2
NORTHAMPTON MA
01060-2066
US
V. Phone/Fax
- Phone: 413-584-8700
- Fax: 413-584-1714
- Phone: 413-584-8700
- Fax: 413-584-1714
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 80191 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: