Provider Demographics
NPI:1518918770
Name:ESPINAS, ANNABEL LEE CO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNABEL LEE
Middle Name:CO
Last Name:ESPINAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:260 NEW LUDLOW RD
Mailing Address - Street 2:WESTERN MASS PHYSICIAN ASSOCIATES INC
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020
Mailing Address - Country:US
Mailing Address - Phone:413-533-3470
Mailing Address - Fax:413-533-6859
Practice Address - Street 1:262 NEW LUDLOW RD
Practice Address - Street 2:CHICOPEE MEDICAL CENTER
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020
Practice Address - Country:US
Practice Address - Phone:413-552-3250
Practice Address - Fax:413-552-3255
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA220974207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA40667OtherMEDICARE RAILROAD
G69691Medicare UPIN