Organization
ANDREW W. DANYLUK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW W DANYLUK MD (OWNER)
(413) 499-6405
Entity
Organization
Contact information
Practice address
777 NORTH ST, 3RD FLOOR, PITTSFIELD, MA 01201-4147
(413) 499-6405
(413) 442-7118
Mailing address
PO BOX 1490, LANESBORO, MA 01237-1490
(413) 499-6405
(413) 442-7118
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
79169
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9702831
—
MA
Enumeration date
06/08/2007
Last updated
04/22/2009
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