Organization
NORTHERN BERKSHIRE PEDIATRICS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KING (PRACTICE MANAGER)
(413) 663-8365
Entity
Organization
Contact information
Practice address
77 HOSPITAL AVE., SUITE 302, NORTH ADAMS, MA 01247-2538
(413) 663-8365
(413) 662-2363
Mailing address
77 HOSPITAL AVE., SUITE 302, AMBULATORY CARE CENTER, NORTH ADAMS, MA 01247-2538
(413) 663-8365
(413) 662-2363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134791
—
MA
Enumeration date
05/10/2007
Last updated
03/05/2012
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