Provider Demographics
NPI:1124027834
Name:DR. JAMES HAINES & DR. WILLIAM BELCASTRO, PTR.
Entity Type:Organization
Organization Name:DR. JAMES HAINES & DR. WILLIAM BELCASTRO, PTR.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRYCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-737-2371
Mailing Address - Street 1:299 CAREW ST
Mailing Address - Street 2:SUITE 322
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2301
Mailing Address - Country:US
Mailing Address - Phone:413-737-2371
Mailing Address - Fax:413-788-7829
Practice Address - Street 1:299 CAREW ST
Practice Address - Street 2:SUITE 322
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2301
Practice Address - Country:US
Practice Address - Phone:413-737-2371
Practice Address - Fax:413-788-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA670286OtherTUFTS HEALTH PLAN
CE3089OtherRAILROAD MEDICARE
MA670286OtherTUFTS HEALTH PLAN