Provider Demographics
NPI:1760499420
Name:NOBLE, VICTORIA J (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:J
Last Name:NOBLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:244 MAIN STREET ANNEX
Mailing Address - Street 2:P.O. BOX 32
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01061-0032
Mailing Address - Country:US
Mailing Address - Phone:413-584-2173
Mailing Address - Fax:413-341-1786
Practice Address - Street 1:133 MAPLE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1896
Practice Address - Country:US
Practice Address - Phone:413-887-7376
Practice Address - Fax:413-341-1786
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2014-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA206165207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3208265Medicaid
A31049Medicare ID - Type Unspecified
MA3208265Medicaid