MEDICARE: ANTONY SAMEH AWAD DO, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	1018566	MA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	1018566	MA
3	207P00000X	Emergency Medicine Physician	25MB11995200	NJ

General Provider Information

NPI Number	:	1144802042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONY SAMEH AWAD DO, MS

Provider Business Mailing Address
First Line	:	759 CHESTNUT ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01199-0001
Country	:	US
Telephone Number	:
Fax Number	:	413-300-9517

Provider Business Practice Location Address
First Line	:	759 CHESTNUT ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01199-7059
Country	:	US
Telephone Number	:	413-794-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2021
Last Update Date	:	09/09/2025

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