Healthcare Provider Details

I. General information

NPI: 1851364079
Provider Name (Legal Business Name): STEPHEN A METZ MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 04/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STAFFORD ST STE 210 HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
SPRINGFIELD MA
01104-4110
US

IV. Provider business mailing address

354 BIRNIE AVE HAMPDEN COUNTY PHYSICIAN ASSOCIATES LLC
SPRINGFIELD MA
01107-1108
US

V. Phone/Fax

Practice location:
  • Phone: 413-737-2277
  • Fax: 413-737-2291
Mailing address:
  • Phone: 413-733-3470
  • Fax: 413-733-5235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number75098
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: