Provider Demographics
NPI:1780789198
Name:MUNRO, ALAN B (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:MUNRO
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 1:260 NEW LUDLOW RD
Mailing Address - Street 2:WESTERN MASS PHYSICIAN ASSOCIATES INC
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020
Mailing Address - Country:US
Mailing Address - Phone:413-533-3470
Mailing Address - Fax:413-533-6859
Practice Address - Street 1:2 HOSPITAL DR STE 101
Practice Address - Street 2:DBA: HOLYOKE ASSOCIATES IN INTERNAL MEDICINE
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-6616
Practice Address - Country:US
Practice Address - Phone:413-536-8924
Practice Address - Fax:413-532-9141
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38242207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP00358043OtherMEDICARE RAILROAD
MA2033445Medicaid
MAH10146Medicare ID - Type Unspecified
MAP00358043OtherMEDICARE RAILROAD