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22D0067770 CLIA NUMBER - CHESTNUT MEDICAL ASSOCIATES, INC

Laboratory Demographics

CLIA Number: 22D0067770

Facility Name: CHESTNUT MEDICAL ASSOCIATES, INC

Facility Address:
300 BIRNIE AVE STE 102
SPRINGFIELD, MA
ZIP 01107
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Facility Phone Number: 413 785-5344

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1679565543

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 22D0067770
LAB Type Physician Office
Facility Name CHESTNUT MEDICAL ASSOCIATES, INC
Street 300 BIRNIE AVE STE 102
City SPRINGFIELD
State MA
ZIP 01107
Phone 413 785-5344
CertificateType 4
CertificateEffectiveDate 7/30/2023
CertificateExpirationDate 7/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024