Basic Information
| Provider Information | |||||||||
| NPI: | 1548567696 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 354 BIRNIE AVE | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011071108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137333470 | ||||||||
| FaxNumber: | 4137335235 | ||||||||
| Practice Location | |||||||||
| Address1: | 802 COLLEGE HWY | ||||||||
| Address2: | SLEEP DISORDERS CENTER OF HAMPDEN COUNTY | ||||||||
| City: | SOUTHWICK | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010779690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135694071 | ||||||||
| FaxNumber: | 4135694079 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2011 | ||||||||
| LastUpdateDate: | 03/04/2011 | ||||||||
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| AuthorizedOfficialLastName: | HOUFF | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 4137333470 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RS0012X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine |
No ID Information.