Organization
MACONY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE W VIEBROCK (OFFICE MANAGER)
(413) 528-4047
Entity
Organization
Contact information
Practice address
100 MAPLE AVE STE 1, GREAT BARRINGTON, MA 01230-1965
(413) 528-4047
(413) 528-3407
Mailing address
100 MAPLE AVE STE 1, GREAT BARRINGTON, MA 01230-1965
(413) 528-4047
(413) 528-3407
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01682324
—
NY
05
—
9778754
—
MA
Enumeration date
08/08/2006
Last updated
08/22/2020
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