Healthcare Provider Details
I. General information
NPI: 1730592676
Provider Name (Legal Business Name): IPC HOSPITALISTS OF NEW ENGLAND, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2014
Last Update Date: 06/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
819 WORCESTER ST STE 3
SPRINGFIELD MA
01151-1056
US
IV. Provider business mailing address
819 WORCESTER ST STE 3
SPRINGFIELD MA
01151-1056
US
V. Phone/Fax
- Phone: 413-543-6820
- Fax: 413-543-7962
- Phone: 413-543-6820
- Fax: 413-543-7962
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ADAM
D.
SINGER
Title or Position: CEO
Credential: M.D.
Phone: 818-766-3502