Provider Demographics
NPI:1467486928
Name:NORTHAMPTON INTERNAL MEDICINE ASSOCIATES, PC
Entity Type:Organization
Organization Name:NORTHAMPTON INTERNAL MEDICINE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-584-9511
Mailing Address - Street 1:190 NONOTUCK ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1911
Mailing Address - Country:US
Mailing Address - Phone:413-584-9511
Mailing Address - Fax:413-584-4218
Practice Address - Street 1:190 NONOTUCK ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1911
Practice Address - Country:US
Practice Address - Phone:413-584-9511
Practice Address - Fax:413-584-4218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Not Answered207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM15056OtherBCBS MA
MA9763848Medicaid
MA9763848Medicaid