Individual
ELLIS M FRIBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 NORTH ST, PITTSFIELD, MA 01201
(413) 499-2921
(413) 499-2762
Mailing address
510 NORTH ST, PITTSFIELD, MA 01201
(413) 499-2921
(413) 499-2762
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28034
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129542
—
MA
Enumeration date
11/06/2006
Last updated
07/08/2007
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