BERKSHIRE MOBILE MEDICAL PC NPI 1972853604

NPI Information

NPI: 1972853604
Provider Name: BERKSHIRE MOBILE MEDICAL, PC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
24 BAGLEE AVE
PITTSFIELD, MA
ZIP 01201
Phone: (413) 442-4763
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BERKSHIRE MOBILE MEDICAL, PC is a medical physician assistant in Pittsfield, MA. BERKSHIRE MOBILE MEDICAL, PC NPI is 1972853604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24 BAGLEE AVE
PITTSFIELD, MA
ZIP 01201-007
Phone: (413) 442-4763
Fax: (413) 442-4763

The provider's authorized official is Jeffrey J Kellogg .
The authorized official title is Owner and has the following contact phone number (413) 442-4763.

The enumeration date for this NPI number is 9/10/2012 and was last updated on 9/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		156843	MASSACHUSETTS	No
2	363AM0700X	Physician Assistant	Medical	1520	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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