Healthcare Provider Details

I. General information

NPI: 1902123276
Provider Name (Legal Business Name): AFC PHYSICIANS OF MASSACHUSETTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 02/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 COOLEY ST UNIT #3
SPRINGFIELD MA
01128-1113
US

IV. Provider business mailing address

415 COOLEY ST UNIT #3
SPRINGFIELD MA
01128-1113
US

V. Phone/Fax

Practice location:
  • Phone: 413-782-4878
  • Fax: 413-782-7272
Mailing address:
  • Phone: 413-782-4878
  • Fax: 413-782-7272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES BRENNAN
Title or Position: PRESIDENT
Credential:
Phone: 413-531-5755