Organization
BERKSHIRE COSMETIC & RECONSTRUCTIVE SURGERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL M. MICHAELS M.D. (OWNER/PRESIDENT)
(413) 496-9272
Entity
Organization
Contact information
Practice address
426 SOUTH ST, PITTSFIELD, MA 01201-8228
(413) 496-9272
(413) 442-6990
Mailing address
426 SOUTH ST, PITTSFIELD, MA 01201-8228
(413) 496-9272
(413) 442-6990
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
694456
TUFTS
MA
01
—
M88023
BC/BS
MA
Enumeration date
06/06/2006
Last updated
01/15/2013
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