Provider Demographics
NPI:1043308521
Name:BELL, MICHAEL L (PA)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:L
Last Name:BELL
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:11 HOSPITAL DRIVE
Mailing Address - Street 2:WEIGHT MANAGEMENT PROGRAM
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040
Mailing Address - Country:US
Mailing Address - Phone:413-535-4757
Mailing Address - Fax:413-535-4758
Practice Address - Street 1:11 HOSPITAL DRIVE
Practice Address - Street 2:WEIGHT MANAGEMENT PROGRAM
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-535-4757
Practice Address - Fax:413-535-4758
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2021-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA1386363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000051494OtherBMC HEALTHNET
MA1043308521OtherFALLON CHP
MA83-08484OtherEVERCARE
MA732659OtherCONNECTICARE
MA732659OtherCONNECTICARE
P44982Medicare UPIN