Individual
DEAN A. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 NORTH ST, BERKSHIRE MEDICAL CENTER EMERGENCY DEPT, PITTSFIELD, MA 01201-4109
(413) 447-2000
(413) 447-2175
Mailing address
725 NORTH ST, BERKSHIRE MEDICAL CENTER EMERGENCY DEPT, PITTSFIELD, MA 01201-4109
(413) 447-2000
(413) 447-2175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
77783
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA77783
CDPHP
—
01
—
P00278491
RAILROAD MEDICARE CARRIER
—
Enumeration date
08/03/2006
Last updated
07/08/2007
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