Provider Demographics
NPI:1740494343
Name:TSONGALIS, JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:TSONGALIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:76 CARLON DR STE B
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2377
Mailing Address - Country:US
Mailing Address - Phone:413-584-2178
Mailing Address - Fax:413-923-9312
Practice Address - Street 1:76 CARLON DR STE B
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2377
Practice Address - Country:US
Practice Address - Phone:413-584-2178
Practice Address - Fax:413-923-9312
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA235553208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine