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Organization

FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS

Active
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Organization

FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN GRENOBLE M.D. (MANAGING PARTNER)
(413) 442-1019
Entity
Organization

Contact information

Practice address
20 ELM ST, PITTSFIELD, MA 01201-6502
(413) 442-1019
(413) 447-8521
Mailing address
20 ELM ST, PITTSFIELD, MA 01201-6502
(413) 442-1019
(413) 447-8521

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—

Other

Enumeration date
07/03/2006
Last updated
06/06/2012
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