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Contact Information

LONGEVITY CLINICAL LTC ASSOCIATES OF MASSACHUSETTS, PLLC
75 MARKET ST
SPRINGFIELD, MA01103-1640
 Phone: 561-815-2427
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LONGEVITY CLINICAL LTC ASSOCIATES OF MASSACHUSETTS PLLC · (Female)

NPI Number 1114746559
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2024
Last updated 10/03/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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