Provider Demographics
NPI:1851863310
Name:CD PRACTICE ASSOCIATES, INC
Entity type:Organization
Organization Name:CD PRACTICE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMOUREUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-582-2300
Mailing Address - Street 1:30 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2052
Mailing Address - Country:US
Mailing Address - Phone:413-582-4907
Mailing Address - Fax:413-582-2958
Practice Address - Street 1:10 COLLEGE HWY
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01073-9330
Practice Address - Country:US
Practice Address - Phone:413-527-1105
Practice Address - Fax:413-527-0327
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CD PRACTICE ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care