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Individual

DR. JASON MICHAEL BRATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 NORTH ST, SUITE 203, PITTSFIELD, MA 01201-4147
(413) 499-8590
(413) 499-6410
Mailing address
164 ALPINE TRL, PITTSFIELD, MA 01201-8927
(413) 281-8935

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
231621
NY
207RG0100X
Gastroenterology Physician
Primary
261855
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S400244397
MEDICARE PTAN
MA
Enumeration date
12/12/2006
Last updated
03/11/2016
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