Jennifer B Mol, PA
Physician Assistant in West Springfield, Massachusetts
1255629101- Practice location
- 134 Capital Dr Ste E, West Springfield, MA 01089-1320
- Phone
- 413-733-0010
- Fax
- 413-417-2978
- Last updated
- January 11, 2022
Jennifer Bertolasio Mol is a Physician Assistant based in West Springfield, MA. Jennifer Bertolasio Mol practices in West Springfield, MA and has the professional credentials of PA. The NPI Number for Jennifer Bertolasio Mol is 1255629101 and holds a License No. PA4201 (MA). The current practice location address for Jennifer Bertolasio Mol is 134 Capital Dr Ste E, West Springfield, MA 01089-1320 and can be reached out via phone at 413-733-0010 and via fax at 413-417-2978.
Provider Profile Details
- NPI Number
- 1255629101
- Provider Name
- Jennifer Bertolasio Mol
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 134 Capital Dr Ste E, West Springfield, MA 01089-1320
- Phone Number
- 413-733-0010
- Fax Number
- 413-417-2978
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 13, 2011
- Last Update Date
- January 11, 2022
- Certification Date
- January 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 134 Capital Dr Ste E
West Springfield, MA 01089-1320 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089-1320
- Phone Number
- 413-733-0010
- Fax Number
- 413-417-2978
Provider Business Mailing Address Details
- Address
- Po Box 366
Ludlow, MA 01056-0366 - City
- Ludlow
- State
- MA
- Zip
- 01056-0366
- Phone Number
- 413-733-0010
- Fax Number
- 413-930-2108
License Information
- License Number
- PA4201
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer B Mol, PA?
The NPI number of Jennifer B Mol, PA is 1255629101. It was assigned on July 13, 2011 and is currently active in the NPPES registry.
What is the specialty of Jennifer B Mol, PA?
Jennifer B Mol, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA4201.
Where does Jennifer B Mol, PA practice?
The practice location is 134 Capital Dr Ste E, West Springfield, MA 01089-1320. The office can be reached at 413-733-0010 (phone) or 413-417-2978 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255629101 directly on the NPPES registry website.