Provider Demographics
NPI:1295722551
Name:POSNER, MICHAEL KAGAN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KAGAN
Last Name:POSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 MAPLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01062-9748
Mailing Address - Country:US
Mailing Address - Phone:413-586-7224
Mailing Address - Fax:
Practice Address - Street 1:373 PARK ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3304
Practice Address - Country:US
Practice Address - Phone:413-734-1001
Practice Address - Fax:413-736-4875
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47563208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0134988Medicaid