Organization
PAC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MANZO (PRESIDENT)
(413) 881-4066
Entity
Organization
Contact information
Practice address
383 EAST ST, LENOX, MA 01240-2234
(413) 881-4066
Mailing address
PO BOX 115, WEST STOCKBRIDGE, MA 01266-0115
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
PA3715
MA
Other
Enumeration date
10/13/2011
Last updated
01/04/2012
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