Organization
PREVENTIVE MEDICINE ASSOCIATES
Active
Parent organization
PREVENTIVE MEDICINE ASSOCIATES
Other names
Pittsfield Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREVENTIVE MEDICINE ASSOCIATES
Authorized official
MS. MARY J DELONG MM, RHIA (CREDENTIALING MANAGER)
(413) 222-7711
Entity
Organization
Contact information
Practice address
740 WILLIAMS ST, SUITE 10, PITTSFIELD, MA 01201-7463
(413) 214-7486
Mailing address
740 WILLIAMS ST, SUITE 10, PITTSFIELD, MA 01201-7463
(413) 214-7486
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/03/2008
Last updated
08/03/2008
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