Organization
GREYLOCK EAR NOSE AND THROAT ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN HAMILTON (MEDICAL SECRETARY)
(413) 443-4800
Entity
Organization
Contact information
Practice address
510 NORTH ST, PITTSFIELD, MA 01201-4111
(413) 443-4800
(413) 442-9701
Mailing address
510 NORTH ST, PITTSFIELD, MA 01201-4111
(413) 443-4800
(413) 442-9701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
48706
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020943
BOSTON MEDICAL HEALTHNET
MA
05
—
0156485
—
MA
01
—
04588
MVP
MA
01
—
0482720
AETNA
MA
01
—
10925
HEALTH NEW ENGLAND
MA
01
—
776514
TUFTS
MA
01
—
I22280
BCBS
MA
Enumeration date
07/06/2007
Last updated
01/29/2013
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