Individual provider · Type 1 NPI

Michael Eddy, PA-C

Surgical Physician Assistant · Springfield, MA

NPI number 1396377545 Active

Practice location

2 Medical Center Dr Ste 301
Springfield, MA 01107-1298

Fax (413) 794-2165

Mailing address

280 Chestnut St Fl 2
Springfield, MA 01199-1001

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA7423 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1396377545

Michael Eddy, PA-C's National Provider Identifier is 1396377545, issued on Feb 5, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, MA. The record was last updated on Jun 10, 2020.