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NPI Code Detail

MEDICARE: ELISANDRA N/A JAMES

MEDICARE: ELISANDRA N/A JAMES
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
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General Provider Information

NPI Number : 1659200483
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISANDRA N/A JAMES
Provider Business Mailing Address
First Line : 28 JASPER ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01109-1713
Country : US
Telephone Number : 413-657-3501
Fax Number :
Provider Business Practice Location Address
First Line : 28 JASPER ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01109-1713
Country : US
Telephone Number : 413-657-3501
Fax Number : 413-657-3501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ ELISANDRA N/A JAMES ” Practice Location

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