Provider Demographics
NPI:1023118684
Name:HOADLEY, DEBORAH JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JEAN
Last Name:HOADLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:175 DWIGHT RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1761
Mailing Address - Country:US
Mailing Address - Phone:413-567-0600
Mailing Address - Fax:413-567-2443
Practice Address - Street 1:175 DWIGHT RD
Practice Address - Street 2:SUITE 203
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1761
Practice Address - Country:US
Practice Address - Phone:413-567-0600
Practice Address - Fax:413-567-2443
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA160506207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB65120Medicare UPIN