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NPI Code Detail

MEDICARE: KAREN CONWAY MD

MEDICARE:   KAREN  CONWAY  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
1208000000XPediatrics Physician32666AZ
2208000000XPediatrics Physician230231MA

Other Identifiers

General Provider Information

NPI Number : 1871597120
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN CONWAY MD
Provider Business Mailing Address
First Line : 444 MONTGOMERY ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01020-1969
Country : US
Telephone Number : 413-594-3111
Fax Number : 413-598-7115
Provider Business Practice Location Address
First Line : 444 MONTGOMERY ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01020-1969
Country : US
Telephone Number : 413-594-3111
Fax Number : 413-598-7115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 03/17/2011

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