Individual
MR. ALEXANDER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP CERTIFIED PROSTHE
Contact information
Practice address
99 FIRST ST, BERKSHIRE PROSTHETIC CENTER, PITTSFIELD, MA 01201-4745
(413) 442-5381
Mailing address
66 SEEKONK CROSSROAD, GREAT BARRINGTON, MA 01230-1569
(413) 528-3562
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
P1026
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524631
—
MA
Enumeration date
01/18/2007
Last updated
07/08/2007
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