Individual
LAURIEANN QUIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
725 NORTH ST, PITTSFIELD, MA 01201-4124
(413) 447-2000
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201-4124
(413) 447-2000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA6739
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA6739
MASSACHUSETTS BOARD OF PHYSICIAN ASSISTANTS
MA
Enumeration date
09/04/2018
Last updated
09/04/2018
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