Provider Demographics
NPI:1427058312
Name:FREY, JANE M (CNM)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:M
Last Name:FREY
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:WESTERN MASS PHYSICIAN ASSOCIATES INC
Mailing Address - Street 2:260 NEW LUDLOW RD
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020
Mailing Address - Country:US
Mailing Address - Phone:413-533-3470
Mailing Address - Fax:413-533-6859
Practice Address - Street 1:MIDWIFERY CARE OF HOLYOKE
Practice Address - Street 2:267 HIGH ST
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-535-4700
Practice Address - Fax:413-535-4704
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA165319367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0702013Medicaid
043202198008OtherTRICARE
21220007201OtherBEECH STREET
37372OtherHEALTHY START
CN0094OtherBLUE CROSS BLUE SHIELD