# JAY S. FLEITMAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306822655
- **Authorized official:** DR. JAY S FLEITMAN M.D. (PRESIDENT)
- **Authorized official phone:** (413) 586-9100

## Contact information

- **Practice address:** 90 CONZ ST, NORTHAMPTON, MA 01060-3881
- **Practice address phone:** (413) 586-9100
- **Practice address fax:** (413) 586-3379
- **Mailing address:** PO BOX 789, LUDLOW, MA 01056-0789
- **Mailing address phone:** (413) 509-1000
- **Mailing address fax:** (413) 509-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2005
- **Last updated:** 06/22/2009