Organization
BERKSHIRE EAR, NOSE, THROAT AND AUDIOLOGICAL ASSOCIATES, P.C.
Active
Other names
Berkshire Facial Plastic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANTHONY LOIODICE M.D., F.A.C.S. (PRESIDENT)
(413) 448-8291
Entity
Organization
Contact information
Practice address
510 NORTH ST, SUITE ONE, PITTSFIELD, MA 01201-4111
(413) 448-8291
(413) 447-9070
Mailing address
510 NORTH ST, SUITE ONE, PITTSFIELD, MA 01201-4111
(413) 448-8291
(413) 447-9070
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
45563
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9724800
—
MA
01
—
M17998
BLUE CROSS OF MA
MA
Enumeration date
08/29/2006
Last updated
08/22/2020
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