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General NPI Number Information
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NPI Number | 1578822748
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Entity Type | Individual
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Provider Name | THEODORE B LEFER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 164 HIGH STREET
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City | GREENFIELD
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State | MA
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Zip | 01301-2613
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Country | US
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Telephone | 413-772-0211
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Fax | 413-794-1767
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Provider Business Mailing Address
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Address Line | 280 CHESTNUT STREET 2ND FL
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City | SPRINGFIELD
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State | MA
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Zip | 01199-1001
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Country | US
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Telephone | 413-794-5700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD172079
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 042.0014207
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 284728
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License Number State | MA
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