MEDICARE: DEBORAH PANITCH MD

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	208600000X	Surgery Physician	72859	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J09683	OTHER	MA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	728591	OTHER	MA	CONNECTICARE

General Provider Information

NPI Number	:	1467432773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH PANITCH MD

Provider Business Mailing Address
First Line	:	10 HOSPITAL DR
Second Line	:	STE 307
City	:	HOLYOKE
State	:	MA
Zip	:	01040-6603
Country	:	US
Telephone Number	:	413-532-1411
Fax Number	:	413-536-8130

Provider Business Practice Location Address
First Line	:	10 HOSPITAL DR
Second Line	:	STE 307
City	:	HOLYOKE
State	:	MA
Zip	:	01040-6603
Country	:	US
Telephone Number	:	413-532-1411
Fax Number	:	413-536-8130

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	07/08/2007

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Directions to “ DEBORAH PANITCH MD” Practice Location

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