Healthcare Provider Details
I. General information
NPI: 1891778213
Provider Name (Legal Business Name): NEW ENGLAND PATHOLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2005
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
299 CAREW ST
SPRINGFIELD MA
01104-2301
US
IV. Provider business mailing address
PO BOX 789
LUDLOW MA
01056-0789
US
V. Phone/Fax
- Phone: 413-748-9513
- Fax: 413-748-6844
- Phone: 413-509-1000
- Fax: 413-509-1003
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZB0001X |
| Taxonomy | Blood Banking & Transfusion Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZC0500X |
| Taxonomy | Cytopathology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0101X |
| Taxonomy | Anatomic Pathology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GERALD
NASH
Title or Position: PRESIDENT
Credential: MD
Phone: 413-748-9513