Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 047365 | CT |
N | 204F00000X | Transplant Surgeon | 232486 | MA |
Y | 208200000X | Surgeon | 232486 | MA |
Y | 208600000X | Surgeon | 232486 | MA |
NPI | 1811187941 |
---|---|
Provider Name | Kenneth J Mcpartland |
First Address | Ludlow, MA 01056-0366 |
Second Address | West Springfield, MA 01089-1353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 13/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110079717A | (05) | MA |