Organization
EAST ELM PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA CHAPMAN RN (REGISTERED NURSE)
(413) 442-8267
Entity
Organization
Contact information
Practice address
426 EAST ST, PITTSFIELD, MA 01201-5308
(413) 442-8267
(413) 442-8625
Mailing address
426 EAST ST, PITTSFIELD, MA 01201-5308
(413) 442-8267
(413) 442-8625
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110059089A
—
MA
Enumeration date
05/06/2015
Last updated
05/06/2015
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