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Jacob Bamford Coblyn, PA
Medical Physician Assistant in Palmer, Massachusetts
NPI 1821618489

Jacob Bamford Coblyn is a Medical Physician Assistant based in Springfield, MA and is specialized in Medical. Jacob Bamford Coblyn practices in Palmer, MA and has the professional credentials of PA. The NPI Number for Jacob Bamford Coblyn is 1821618489 and holds a License No. (Massachusetts).

The current practice location address for Jacob Bamford Coblyn is 40 Wright St, Palmer, MA and can be reached out via phone at 413-370-5400 and via fax at 413-370-5654.

Location: 40 Wright St, Palmer, MA, 01199-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821618489
Provider Name
Jacob Bamford Coblyn
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
40 Wright St, Palmer, MA, 01199-1001
Phone Number
413-370-5400
Fax Number
413-370-5654
Provider Enumeration Date
04/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 Wright St
City
Palmer
State
Massachusetts
Zip
01069-1138
Phone Number
413-370-5400
Fax Number
413-370-5654
person
Provider Business Mailing Address Details
Address
40 Wright St
City
Palmer
State
Massachusetts
Zip
01069-1138
Phone Number
413-370-5400
Fax Number
413-370-5654
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA8016 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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