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NPI Code Detail

MEDICARE: KATHLEEN B. VIAMARI M.D.

MEDICARE:   KATHLEEN B. VIAMARI  M.D.
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
1208000000XPediatrics Physician71073MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164486148
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN B. VIAMARI M.D.
Provider Business Mailing Address
First Line : 230 MAIN ST
Second Line :
City : AGAWAM
State : MA
Zip : 01001-1838
Country : US
Telephone Number : 413-789-6800
Fax Number : 413-789-5171
Provider Business Practice Location Address
First Line : 230 MAIN ST
Second Line :
City : AGAWAM
State : MA
Zip : 01001-1838
Country : US
Telephone Number : 413-789-6800
Fax Number : 413-789-5171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 11/28/2011

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Directions to “ KATHLEEN B. VIAMARI M.D.” Practice Location

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