Provider Demographics
NPI:1396718912
Name:OH, ALBERT S (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:S
Last Name:OH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1290
Mailing Address - Street 2:WESTFIELD MEDICAL CORPORATION
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01086-1290
Mailing Address - Country:US
Mailing Address - Phone:508-595-0531
Mailing Address - Fax:508-829-5367
Practice Address - Street 1:800 COLLEGE HWY
Practice Address - Street 2:WESTFIELD MEDICAL COROPATION
Practice Address - City:SOUTHWICK
Practice Address - State:MA
Practice Address - Zip Code:01077
Practice Address - Country:US
Practice Address - Phone:413-569-2257
Practice Address - Fax:413-569-2264
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA216406207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2001098Medicaid
MAA35021Medicare ID - Type Unspecified
MA2001098Medicaid