Individual
DR. ANDREA MARANGONI BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
740 WILLIAMS ST, PITTSFIELD, MA 01201-7463
(413) 442-2226
(413) 442-1314
Mailing address
740 WILLIAMS ST, PITTSFIELD, MA 01201-7463
(413) 442-2226
(413) 442-1314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA75787
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024296
BMC HEALTH NET PLAN
MA
01
—
075787
TUFT HEALTH PLAN
MA
05
—
9706437
—
MA
01
—
M17692
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/18/2006
Last updated
07/08/2007
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