Provider Demographics
NPI:1124140736
Name:VALLEY PULMONARY & MEDICAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:VALLEY PULMONARY & MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-739-5661
Mailing Address - Street 1:222 CAREW ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-4103
Mailing Address - Country:US
Mailing Address - Phone:413-739-5661
Mailing Address - Fax:413-731-1249
Practice Address - Street 1:305 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-2622
Practice Address - Country:US
Practice Address - Phone:413-594-4405
Practice Address - Fax:413-594-2886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY10170Medicare ID - Type UnspecifiedVALLEY PULMONARY & MEDICA
MAY01219Medicare ID - Type UnspecifiedSTANLEY GLASSER, M.D.
MAY02343Medicare ID - Type UnspecifiedT.K. RAMAN, M.D.
MAY02202Medicare ID - Type UnspecifiedMOHAN RAO, M.D.