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Individual

JANICE PRIDE-BOONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
777 NORTH STREET, SUITE 305, PITTSFIELD, MA 01201
(413) 499-8531
(413) 499-8560
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
281853
MA
208000000X
Pediatrics Physician
G151811
CA
208000000X
Pediatrics Physician
LA MD 13859R
LA
208000000X
Pediatrics Physician
MD 11342
NV
208000000X
Pediatrics Physician
MD 1582941
NY
208000000X
Pediatrics Physician
MD 40684
TN
208000000X
Pediatrics Physician
MD 62966
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1436585
LA
05
281853
MA
Enumeration date
05/25/2007
Last updated
03/11/2020
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