Individual
MICHAEL B BLACKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 TOR COURT, HILLCREST FAMILY HEALTH, PITTSFIELD, MA 01201
(413) 499-2054
(413) 445-9517
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201
(413) 447-2752
(413) 496-6836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208404
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137251
—
MA
Enumeration date
05/03/2006
Last updated
07/08/2007
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