Individual provider · Type 1 NPI

Mmaserame Gaefele

Student in an Organized Health Care Education/Training Program · Springfield, MA

NPI number 1174296560 Active

Practice location

Baystate Medical Center 759 Chestnut Street
Springfield, MA 01199-0001

Other practice locations

  • 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 · (215) 482-0465

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XMT224501 (PA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174296560

Mmaserame Gaefele's National Provider Identifier is 1174296560, issued on Jul 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MA. The record was last updated on Jun 9, 2022.