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NPI Provider: 1669471389
Contact Name: Breslin P Kevin
Position: Executive VP
Phone: (201) 242-4004
548 Elm Street Operating Company, Llc Information:
548 Elm Street Operating Company, Llc organization have npi 1669471389, taxonomy code is 314000000X with license number is 818 in . This Business address located in 548 Elm St, Northampton, MA 10602 Massachusetts. Get directions of 548 Elm Street Operating Company, Llc.
Practice Location
Address: 548 Elm St, Northampton, MA 10602
Phone: (413) 586-3150
Business Location
Address: 548 Elm St, Northampton, MA 10602
Phone: (413) 586-3150
Fax: (413) 584-7720
Taxonomy
Taxonomy Code: 314000000X
License Number: 818
License Number of State: MA
Primary Taxonomy Switch: Y
Enumeration Date: 7/14/2005
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