John A Holbrook, M.D.

Individual provider Active NPI Emergency Medicine Physician · Hadley, MA

NPI 1093875593 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1093875593
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
40494 (MA)
Practice address
5 West St
Hadley, MA 01035-9504
Phone
(413) 237-1161
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40494MAMDEmergency Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 40494 MA Yes

Addresses

Primary practice location

5 West St
Hadley, MA 01035-9504

Mailing address

5 West St
Hadley, MA 01035-9504
Phone (413) 237-1161

Other providers in Hadley, MA

All providers in Hadley, MA · Emergency Medicine Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.