Individual
DR. MARK R. SELBY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
73 EAGLE ST, PITTSFIELD, MA 01201-4714
(413) 499-2672
(413) 447-8825
Mailing address
PO BOX 1007, ASHFIELD, MA 01330-1007
(413) 499-2672
(413) 447-8825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA43107
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2464892
ID#
MA
Enumeration date
06/15/2006
Last updated
07/08/2007
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