Provider Demographics
NPI:1346212008
Name:ALBERT, MICHAEL P (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:P
Last Name:ALBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10417
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01041-2017
Mailing Address - Country:US
Mailing Address - Phone:413-540-0150
Mailing Address - Fax:413-540-0159
Practice Address - Street 1:2 MEDICAL CENTER DR
Practice Address - Street 2:SUITE # 404
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1270
Practice Address - Country:US
Practice Address - Phone:413-736-3163
Practice Address - Fax:413-733-0206
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56073208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA733297OtherTUFTS
MAJ11029OtherBLUE CROSS BLUE SHIELD
1704384OtherUNITED HEALTHCARE
MA10108OtherHEALTH NEW ENGLAND
484225OtherCCARE
MA3078205Medicaid
MA3502711-002OtherCIGNA
801563OtherHARVARD PILGRIM
61710OtherAETNA
MA6480OtherBMC HEALTHNET
MAJ11029Medicare PIN
801563OtherHARVARD PILGRIM