Individual provider · Type 1 NPI

Shadrack Masoo-Waita Maingi, PA-C

Medical Physician Assistant · Springfield, MA

NPI number 1215599188 Active

Practice location

819 Worcester St Ste 1
Springfield, MA 01151-1056

Call (413) 304-2501 Map

Fax (413) 789-0290

Mailing address

125 Stony Hill Rd
Hampden, MA 01036-9717

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1215599188

Shadrack Masoo-Waita Maingi, PA-C's National Provider Identifier is 1215599188, issued on Jul 1, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MA. The record was last updated on Jul 1, 2019.