# TRAILSIDE HEALTH LLC

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

## Provider details

- **NPI number:** 1497175459
- **Authorized official:** STEFAN A. TOPOLSKI MD (CEO)
- **Authorized official phone:** (413) 625-6240

## Contact information

- **Practice address:** 111 BRIDGE ST, SHELBURNE FALLS, MA 01370-1142
- **Practice address phone:** (413) 625-6240
- **Practice address fax:** (413) 625-6290
- **Mailing address:** 111 BRIDGE ST, SHELBURNE FALLS, MA 01370-1142
- **Mailing address phone:** (413) 625-6240
- **Mailing address fax:** (413) 625-6290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1030561 | MA | — |
| 207Q00000X | Family Medicine Physician | 209410 | MA | Yes |
| 363L00000X | Nurse Practitioner | 213928 | MA | — |

## Other

- **Enumeration date:** 04/17/2014
- **Last updated:** 04/17/2014