Organization Name:  HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC


Practice Location:
354 BIRNIE AVE SUITE 202 SPRINGFIELD, MA 01107 US
Tel: 413-733-3470  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology
N	207P00000X	Physicians Emergency Medicine
N	207Q00000X	Physicians Family Medicine
N	207RC0000X	Physicians Internal Medicine
N	207RC0200X	Physicians Internal Medicine
N	207RG0300X	Physicians Internal Medicine
N	207RH0003X	Physicians Internal Medicine
N	207RI0200X	Physicians Internal Medicine
N	207RP1001X	Physicians Internal Medicine
N	207RR0500X	Physicians Internal Medicine
N	207V00000X	Physicians Obstetrics & Gynecology
N	208100000X	Physicians Physical Medicine & Rehabilitation
N	208600000X	Physicians Surgery
N	208C00000X	Physicians Colon & Rectal Surgery
Y	207R00000X	Physicians Internal Medicine

Other Provider Identifiers:

Issuer	Number	State	Type
	003117464	CT	05
GROUP BLUE CROSS	M17181	MA	01
	18064338	MA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin