NPI: 1548205909
Provider Name: BAYSTATE MEDICAL PRACTICES, INC
Former Legal Business Name: BAYSTATE MEDICAL EDUCATION & RESEARCH FOUNDATION, INC.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization
Specialization: Emergency Medical Services
Address:
759 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01199
Phone: (413) 794-5700
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BAYSTATE MEDICAL PRACTICES, INC is an emergency medical services emergency medicine in Springfield, MA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. BAYSTATE MEDICAL PRACTICES, INC NPI is 1548205909. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Baystate Medical Education & Research Foundation, Inc..
The provider's business location address is:
759 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01199-001
Phone: (413) 794-5700
Fax: (413) 794-1629
The provider's authorized official is Justin Choiniere .
The authorized official title is Manager Provider Enrollment and has the following contact phone number (413) 794-7976.
The enumeration date for this NPI number is 6/19/2006 and was last updated on 2/22/2021.