Organization
JOHN T SINCLAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRI PRIESTER (DENTAL SLEEP MEDICINE MANAGER)
(413) 445-7791
Entity
Organization
Contact information
Practice address
207 1ST ST, PITTSFIELD, MA 01201-4725
(413) 445-7791
(413) 445-7532
Mailing address
207 1ST ST, PITTSFIELD, MA 01201-4725
(413) 445-7791
(413) 445-7532
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X05689
BLUE CROSS BLUE SHEILD
MA
Enumeration date
11/10/2010
Last updated
04/08/2013
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