Organization
TRAILSIDE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN A. TOPOLSKI MD (CEO)
(413) 625-6240
Entity
Organization
Contact information
Practice address
111 BRIDGE ST, SHELBURNE FALLS, MA 01370-1142
(413) 625-6240
(413) 625-6290
Mailing address
111 BRIDGE ST, SHELBURNE FALLS, MA 01370-1142
(413) 625-6240
(413) 625-6290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1030561
MA
207Q00000X
Family Medicine Physician
Primary
209410
MA
363L00000X
Nurse Practitioner
213928
MA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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