Individual
JOAN E LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 PARK ST, GYN, ADAMS, MA 01220
(413) 743-1263
(413) 743-0568
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201
(413) 447-2752
(413) 496-6836
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
420010796
VT
207V00000X
Obstetrics & Gynecology Physician
Primary
43434
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146757
—
MA
Enumeration date
05/22/2006
Last updated
02/11/2010
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