Healthcare Provider Details

I. General information

NPI: 1477593853
Provider Name (Legal Business Name): HAMPSHIRE ORTHOPEDICS & SPORTS MEDICINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WEST ST
WEST HATFIELD MA
01088-9515
US

IV. Provider business mailing address

4 WEST ST
WEST HATFIELD MA
01088-9515
US

V. Phone/Fax

Practice location:
  • Phone: 413-586-8200
  • Fax: 413-582-1460
Mailing address:
  • Phone: 413-586-8200
  • Fax: 413-582-1460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA A. UNDERWOOD
Title or Position: OFFICE MANAGER
Credential:
Phone: 413-586-8200