Individual
REID MOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2000
Mailing address
PO BOX 633, PITTSFIELD, MA 01202-0633
(413) 582-2363
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E881169
MA
363A00000X
Physician Assistant
Primary
PA5226
MA
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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