Organization
GREYLOCK RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BATH MD (PRESIDENT)
(413) 664-5279
Entity
Organization
Contact information
Practice address
71 HOSPITAL AVE, NORTH ADAMS, MA 01247-2504
(413) 664-5279
(413) 589-7554
Mailing address
291 MOODY ST, LUDLOW, MA 01056-1246
(800) 688-6663
(413) 589-7554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00743691
—
NY
05
—
1000545
—
VT
01
—
102211300
US DEPT OF LABOR
—
05
—
110068739/A
—
MA
05
—
9724818
—
MA
01
—
M13630
BC/BS
MA
Enumeration date
10/19/2006
Last updated
08/12/2014
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