Unknown Individual – Internal Medicine Physician, NPI 1770569212
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Wilbraham Post Office, 40, Post Office Park, Wilbraham, Hampden County, Massachusetts, 01095, United States
WILBRAHAM, MA 010951086
Phone: (508) 595-0531
Fax: (508) 829-5367
Type: Mailing
Avon Wellness Center, 100, Simsbury Road, Avon Park North, Avon, Hartford County, Connecticut, 06001, United States
AVON, CT 060013793
Phone: (860) 284-5111
Fax: (860) 284-5114
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01095)
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