Healthcare Provider Details

I. General information

NPI: 1780531350
Provider Name (Legal Business Name): STRATUM RADIATION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 COTTAGE ST
SPRINGFIELD MA
01104-3219
US

IV. Provider business mailing address

504 COTTAGE ST
SPRINGFIELD MA
01104-3219
US

V. Phone/Fax

Practice location:
  • Phone: 413-750-9044
  • Fax: 413-301-6677
Mailing address:
  • Phone: 413-750-9044
  • Fax: 413-301-6677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK A BLUMBERG
Title or Position: OWNER
Credential:
Phone: 413-750-9044