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Organization

BERKSHIRE MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNE SHURTLEFF (PRACTICE MANAGER)
(413) 499-8500
Entity
Organization

Contact information

Practice address
777 NORTH ST, SUITE 207, PITTSFIELD, MA 01201-4147
(413) 499-8510
(413) 499-8553
Mailing address
777 NORTH ST, SUITE 207, PITTSFIELD, MA 01201-4147
(413) 499-8510
(413) 499-8553

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000020924
HEALTHNET
MA
01
33453
MVP
MA
01
687754
TUFTS
MA
01
7758
CDPHP
MA
05
9701567
MA
01
CH5899
RAILROAD MEDICARE
MA
01
M17631
BCBS
MA
Enumeration date
11/14/2006
Last updated
08/29/2014
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