Individual
DR. MARK A. BIRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
555 HUBBARD AVE, PITTSFIELD, MA 01201-3876
(413) 442-2842
Mailing address
555 HUBBARD AVE, PITTSFIELD, MA 01201-3876
(413) 442-2842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356328
—
MA
Enumeration date
10/29/2007
Last updated
12/19/2010
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