Individual
DR. FRED E MENSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 SOUTH ST, PITTSFIELD, MA 01201-8228
(413) 496-9272
(413) 442-6990
Mailing address
426 SOUTH ST, PITTSFIELD, MA 01201-8228
(413) 496-9272
(413) 442-6990
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
47652
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151785
—
MA
01
—
I22276
BLUE SHIELD
MA
Enumeration date
10/24/2006
Last updated
04/20/2017
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