MEDICARE: HAMPSHIRE NEUROLOGY LLC

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	2084N0400X	Neurology Physician	219984	MA

General Provider Information

NPI Number	:	1417475336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMPSHIRE NEUROLOGY LLC

Provider Business Mailing Address
First Line	:	31 CAMPUS PLAZA RD STE B
Second Line	:
City	:	HADLEY
State	:	MA
Zip	:	01035-9534
Country	:	US
Telephone Number	:	413-406-3033
Fax Number	:	413-387-0560

Provider Business Practice Location Address
First Line	:	31 CAMPUS PLAZA RD STE B
Second Line	:
City	:	HADLEY
State	:	MA
Zip	:	01035-9534
Country	:	US
Telephone Number	:	413-406-3033
Fax Number	:	413-387-0560

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. MICHAEL ROSSEN
Credential	:
Telephone Number	:	413-406-3033

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	05/16/2025

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Directions to “HAMPSHIRE NEUROLOGY LLC ” Practice Location

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