Provider Demographics
NPI:1750650370
Name:STAROPOLI, MICHAEL DENNIS (PA - C)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DENNIS
Last Name:STAROPOLI
Suffix:
Gender:M
Credentials:PA - C
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Other - Credentials:
Mailing Address - Street 1:85 GLENNANA WAY
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257-9690
Mailing Address - Country:US
Mailing Address - Phone:631-742-8200
Mailing Address - Fax:
Practice Address - Street 1:444 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-1969
Practice Address - Country:US
Practice Address - Phone:631-742-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical