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Contact Information

PAMELA R HENDERSON, MD
299 CAREW ST
STE 400
SPRINGFIELD, MA01104-2361
 Phone: 413-733-1818
 Fax: 413-732-2341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for PAMELA R HENDERSON · (Female)

NPI # 1134122666
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2005
Last updated 11/30/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 215993
  • MA Medicaid 0178501
Hospital affiliation(s)
  • BAYSTATE MEDICAL CENTER - (Acute Care)
    759 CHESTNUT STREET
    SPRINGFIELD, MA 01199
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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