Healthcare Provider Details

I. General information

NPI: 1902852205
Provider Name (Legal Business Name): WESTFIELD EMERGENCY PHYSICIANS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 11/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 WEST SILVER STREET BAYSTATE NOBLE HOSPITAL EMERGENCY DEPARTMENT
WESTFIELD MA
01085
US

IV. Provider business mailing address

PO BOX 419218
BOSTON MA
02241-9218
US

V. Phone/Fax

Practice location:
  • Phone: 413-568-2811
  • Fax: 413-562-7896
Mailing address:
  • Phone: 781-280-1736
  • Fax: 610-834-2862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MURDOC KHALEGHI
Title or Position: CEO
Credential: M.D.
Phone: 858-457-4523