Organization
WESTERN MASSACHUSETTS PATHOLOGY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DIANE KROCHMAL MD (PRESIDENT)
(413) 447-2569
Entity
Organization
Contact information
Practice address
725 NORTH ST, PATHOLOGY DEPARTMENT, PITTSFIELD, MA 01201-4109
(413) 447-2000
(413) 447-2097
Mailing address
PO BOX 781, LEWISTON, ME 04243-0781
(413) 447-2000
(413) 447-2097
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
45390
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024512
BMC HEALTH NET
MA
01
—
0011307
NEIGHBORHOOD HEALTH PLAN
MA
05
—
003124683
—
CT
05
—
1005020
—
VT
01
—
102749600
US DEPT OF LABOR
—
01
—
751038
TUFTS HEALTH PLAN
MA
05
—
9775102
—
MA
01
—
M16092
BC/BS
MA
Enumeration date
11/01/2006
Last updated
07/31/2024
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