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Individual

THOMAS DUNZENDORFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
24 CHARLES ST, PITTSFIELD, MA 01201-3302
(413) 236-0900
(413) 236-5665
Mailing address
24 CHARLES ST, PITTSFIELD, MA 01201-3302
(413) 236-0900
(413) 236-5665

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
73558
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000023393
BMC HEALTHNET
01
0016907
NEIGHBORHOOD HEALTH PLAN
01
073558
TUFTS
MA
01
10034418
CDPHP
01
100911
MVP
05
110060325A
MA
01
23223
HEALTH NEW ENGLAND
01
3288170
AETNA
01
9250030
PRIVATE HEALTHCARE SYSTEM
01
G41567
HARVARD PILGRIM
01
J19535
BCBS
MA
01
P-12006240
MULTIPLAN
01
P00661275
RAILROAD MEDICARE
01
P2212790
OXFORD
Enumeration date
03/29/2006
Last updated
10/04/2012
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