NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053850388 |   |   |   | CLEANSLATE MEDICAL GROUP OF CALIFORNIA PC | 244 MAIN ST | NORTHAMPTON | MA | 010603886 |
1194264911 |   |   |   | CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC | 244 MAIN ST | NORTHAMPTON | MA | 01060 |
1205378593 | BEGIN | AMIE | LEE |   | 280 UNION STREET | LYNN | MA | 01901 |
1033652987 | GARDNER | MELISSA |   |   | 59 MERIDIAN ST | EAST BOSTON | MA | 021281959 |
1760499420 | NOBLE | VICTORIA | J |   | 244 MAIN STREET ANNEX | NORTHAMPTON | MA | 010610032 |
1326039603 | SENGHAS | ELLEN |   |   | CLEANSLATE CENTERS | NORTHAMPTON | MA | 010610032 |