Provider Demographics
NPI:1417475336
Name:HAMPSHIRE NEUROLOGY LLC
Entity Type:Organization
Organization Name:HAMPSHIRE NEUROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-406-3033
Mailing Address - Street 1:31 CAMPUS PLAZA RD STE B
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9534
Mailing Address - Country:US
Mailing Address - Phone:413-406-3033
Mailing Address - Fax:413-387-0560
Practice Address - Street 1:31 CAMPUS PLAZA RD STE B
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9534
Practice Address - Country:US
Practice Address - Phone:413-406-3033
Practice Address - Fax:413-387-0560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2199842084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty