Basic Information
Provider Information
NPI: 1720188188
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARRISH
FirstName: DANIEL
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 260 NEW LUDLOW ROAD
Address2: WESTERN MASS PHYSICIAN ASSOCIATES INC
City: CHICOPEE
State: MA
PostalCode: 01020
CountryCode: US
TelephoneNumber: 4135333470
FaxNumber: 4135336859
Practice Location
Address1: 18 HOSPITAL DR
Address2: WESTERN MASS PEDIATRICS
City: HOLYOKE
State: MA
PostalCode: 01040
CountryCode: US
TelephoneNumber: 4135342800
FaxNumber: 4135342801
Other Information
ProviderEnumerationDate: 09/25/2006
LastUpdateDate: 10/08/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X230072MAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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