Individual
FRED LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 HOSPITAL AVE, NORTH ADAMS, MA 01247-2504
(413) 664-5256
Mailing address
71 HOSPITAL AVE, NORTH ADAMS, MA 01247-2504
(413) 664-5256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
53012
CT
207P00000X
Emergency Medicine Physician
Primary
74376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J11740
BXBS
—
Enumeration date
05/17/2006
Last updated
05/22/2014
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