Provider Demographics
NPI:1508004383
Name:HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
Entity Type:Organization
Organization Name:HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SUCHECKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-733-3470
Mailing Address - Street 1:354 BIRNIE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1108
Mailing Address - Country:US
Mailing Address - Phone:413-733-3470
Mailing Address - Fax:413-733-5235
Practice Address - Street 1:98B SHAKER RD
Practice Address - Street 2:SLEEP DISORDERS CENTER OF HAMPDEN COUNTY
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-2731
Practice Address - Country:US
Practice Address - Phone:413-569-4071
Practice Address - Fax:413-569-4079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty