Search › Massachusetts › 390200000X
Justine Phan
NPI 1659289783 · on the registry since 2026 · sole proprietor
Practice
- Address
- 588 Longmeadow St
Longmeadow, MA 01106 - Phone
- (413) 565-1000
- Clinicians at this address
- 211
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts