Provider Demographics
NPI:1295723609
Name:HEALY, JOSEPH E (PA)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:E
Last Name:HEALY
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Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:INNOVATIVE PHYSICIAN SERVICES LLC
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-0391
Mailing Address - Country:US
Mailing Address - Phone:508-595-0531
Mailing Address - Fax:508-829-5367
Practice Address - Street 1:725 NORTH ST
Practice Address - Street 2:INNOVATIVE PHYSICIAN SERVICES LLC
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4132
Practice Address - Country:US
Practice Address - Phone:413-447-2107
Practice Address - Fax:413-447-2108
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA1956363A00000X
CT000528363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant