Individual
DR. ETHAN ALEXANDER FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LAB BERKSHIRE MED CTR, 725 NORTH ST, PITTSFIELD, MA 01201
(413) 447-2567
(413) 447-2097
Mailing address
215 DAWES AVE, PITTSFIELD, MA 01201-7349
(413) 447-2567
(413) 447-2097
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
223784
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101807
—
MA
01
—
J28642
MASS BS/BS
MA
Enumeration date
06/23/2006
Last updated
07/08/2007
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