Organization
NORTHERN BERKSHIRE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH C MANTELLO (OFFICE MANAGER)
(413) 664-4088
Entity
Organization
Contact information
Practice address
820 STATE RD, NORTH ADAMS, MA 01247-3027
(413) 664-4088
(413) 663-6405
Mailing address
820 STATE RD, PO BOX 1067, NORTH ADAMS, MA 01247-3027
(413) 664-4088
(413) 663-6405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9784535
—
MA
Enumeration date
02/23/2007
Last updated
08/22/2020
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