Dr ANNA LIZA TIPGOS KILCOYNE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
BAYSTATE MEDICAL PRACTICES INC
21 DWIGHT RD
104 BAYSTATE PRIMARY CARE LONGMEADOW
LONGMEADOW
MA
011061765
Tel: 4137944555
| Npi | 1720569676 |
| Pac Id | 8426308479 |
| Professional Enrollment Id | I20180912002109 |
| Last Name | KILCOYNE |
| First Name | ANNA LIZA |
| Middle Name | TIPGOS |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | BAYSTATE MEDICAL PRACTICES INC |
| Group Practice Pac Id | 5991602971 |
| Number Of Group Practice Members | 899 |
| Line 1 Street Address | 21 DWIGHT RD |
| Line 2 Street Address | 104 BAYSTATE PRIMARY CARE LONGMEADOW |
| Marker Of Address Line 2 Suppression | |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 011061765 |
| Phone Number | 4137944555 |
| Hospital Affiliation Ccn 1 | 220077 |
| Hospital Affiliation Lbn 1 | BAYSTATE MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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