Individual
TALAL AHMAD MAKKAOUI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 NORTH STREET, BERKSHIRE MEDICAL CENTER, PITTSFIELD, MA 01201
(413) 447-2555
(413) 443-7039
Mailing address
100 NORTH STREET, SUITE 413, PITTSFIELD, MA 01201
(413) 447-2555
(413) 443-7039
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
77440
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13582
BS
MA
05
—
3115852
—
MA
Enumeration date
02/27/2006
Last updated
07/08/2007
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