Active NPIIndividual providerSole proprietor

Dr. Leif G Nordstrom, MD

Pediatrics, Adolescent Medicine in East Longmeadow, Massachusetts

NPI Number1538147129
Practice location
294 N Main St, Suite 101, East Longmeadow, MA 01028-1838
Fax
413-525-3883
Last updated
March 5, 2012

Leif George Nordstrom is a Pediatrics, Adolescent Medicine based in East Longmeadow, MA. Leif George Nordstrom practices in East Longmeadow, MA and has the professional credentials of MD. The NPI Number for Leif George Nordstrom is 1538147129 and holds a License No. 45445 (MA). The current practice location address for Leif George Nordstrom is 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 and can be reached out via phone at 413-525-1870 and via fax at 413-525-3883.

Provider Profile Details

NPI Number
1538147129
Provider Name
Leif George Nordstrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
294 N Main St, Suite 101, East Longmeadow, MA 01028-1838
Phone Number
413-525-1870
Fax Number
413-525-3883
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
Yes
Provider Enumeration Date
January 4, 2006
Last Update Date
March 5, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
294 N Main St
Suite 101
East Longmeadow, MA 01028-1838
Zip
01028-1838
Phone Number
413-525-1870
Fax Number
413-525-3883
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
294 N Main St
Suite 101
East Longmeadow, MA 01028-1838
City
East Longmeadow
State
MA
Zip
01028-1838
Phone Number
413-525-1870
Fax Number
413-525-3883

License Information

License Number
45445
License State
MA
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Leif G Nordstrom, MD?

The NPI number of Dr. Leif G Nordstrom, MD is 1538147129. It was assigned on January 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Leif G Nordstrom, MD?

Dr. Leif G Nordstrom, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in MA under license number 45445.

Where does Dr. Leif G Nordstrom, MD practice?

The practice location is 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838. The office can be reached at 413-525-1870 (phone) or 413-525-3883 (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 1538147129 directly on the NPPES registry website.

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