Organization
BERKSHIRE RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE J GEBARA MD (PRESIDENT)
(413) 447-2461
Entity
Organization
Contact information
Practice address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 447-2461
(413) 447-2461
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 447-2461
(413) 447-2461
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
209218
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000023752
MASS HEALTH NET PROVIDER
MA
05
—
01813203
—
MA
05
—
1007786
—
MA
01
—
28223
HEALTH NEW ENGLAND
MA
01
—
463389
TUFTS
MA
01
—
9714677
MASS HEALTH PROVIDER
MA
Enumeration date
12/30/2006
Last updated
08/22/2020
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