Healthcare Provider Details

I. General information

NPI: 1528094372
Provider Name (Legal Business Name): VANESSA L VANSTEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 SOUTHAMPTON RD UNIT B
WESTFIELD MA
01085-1321
US

IV. Provider business mailing address

212 SOUTHAMPTON RD UNIT B
WESTFIELD MA
01085-1321
US

V. Phone/Fax

Practice location:
  • Phone: 413-628-5187
  • Fax: 413-321-0170
Mailing address:
  • Phone: 413-628-5187
  • Fax: 413-321-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number218642
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number218642
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number218642
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: