Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 154715 | MA |
NPI | 1144217449 |
---|---|
Provider Name | Dr. Beata Tyminska-Paluchowska |
First Address | Springfield, MA 01104-2301 |
Second Address | Springfield, MA 01104-2301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2005 |
Last Update Date | 11/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3171990 | (05) | MA |
G59416 | (02) | MA |