Baystate Medical Practices, Inc.
May also be knows as Bmp, Dept Of Surgery
Legal Business Name
Baystate Medical Practices, Inc.
Also Known As
Bmp, Dept Of Surgery
NPI Number
1366509473
NPI Type
Organization
Enumeration Date
01/02/2007
Specialties
(Taxonomies)Name
Code
2085R0202X
207T00000X
207X00000X
2086S0122X
2086X0206X
208G00000X
2086S0127X
2085R0204X
2086S0129X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
280 CHESTNUT ST
759 CHESTNUT ST
City
Springfield
Springfield
State
MA
MA
Postal Code
01199-1000
01199-1001
Country
US
US
Telephone Number
(413) 794-5700
(413) 794-5700
Authorized Official
Name
Randall Vaill
Title or Position
MANAGER PROVIDER ENROLLMENT
Telephone Number
(413) 794-7976
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/26/2014