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NPI Code Detail

MEDICARE: EUGENIA MARIA BATISTA

MEDICARE: EUGENIA MARIA BATISTA
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
1225700000XMassage Therapist5876MA

General Provider Information

NPI Number : 1235565649
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENIA MARIA BATISTA
Provider Business Mailing Address
First Line : 118 RIVERBOAT VILLAGE RD
Second Line :
City : SOUTH HADLEY
State : MA
Zip : 01075-1355
Country : US
Telephone Number : 617-861-1303
Fax Number :
Provider Business Practice Location Address
First Line : 4 MAPLE ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01103-1904
Country : US
Telephone Number : 413-781-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2013
Last Update Date : 09/17/2013

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Directions to “ EUGENIA MARIA BATISTA ” Practice Location

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