Mary E King
Family Doctor - Adult Medicine
300 Stafford St Ste 300
Springfield
, Massachusetts 01104-3581
Mary E King
Family Doctor - Adult Medicine
300 Stafford St Ste 300
Springfield
, Massachusetts 01104-3581
(413) 746-6066
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Mary E King
- 300 Stafford St Ste 300
- Springfield, MA
- Zip : 01104-3581
- Fax : (413) 746-6066
- Phone : (413) 736-1569
Second Address
- Mary E King
- 300 Stafford St Ste 300
- Springfield, MA
- Zip : 01104-3581
- Fax : (413) 746-6066
- Phone : (413) 736-1569
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | MA60475 | MA |
National Provider Identifier
| NPI | 1003912460 |
|---|---|
| Provider Name | Mary E King |
| First Address | Springfield, MA 01104-3581 |
| Second Address | Springfield, MA 01104-3581 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2006 |
| Last Update Date | 28/10/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.