Advanced Medical Group

Organization Active NPI Rehabilitation Practitioner · Springfield, MA

NPI 1992723639 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992723639
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Practitioner 225400000X
License
60569 (MA)
Legal business name
ADVANCED MEDICAL GROUP
Practice address
155 Union St
Springfield, MA 01105-2010
Phone
(413) 732-0088
NPI assigned
Jul 18, 2006
Organization subpart
No

Authorized official

Name
Mrs. Carmela Bonavita
Title
Office Manager
Phone
(413) 732-0088

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Advanced Medical Care PC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
225400000X 60569 MA Yes

Addresses

Primary practice location

155 Union St
Springfield, MA 01105-2010

Mailing address

155 Union St
Springfield, MA 01105-2010
Phone (413) 732-0088

Other providers in Springfield, MA

All providers in Springfield, MA · Rehabilitation Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.