Organization
FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GRENOBLE M.D. (MANAGING PARTNER)
(413) 442-1019
Entity
Organization
Contact information
Practice address
20 ELM ST, PITTSFIELD, MA 01201-6502
(413) 442-1019
(413) 447-8521
Mailing address
20 ELM ST, PITTSFIELD, MA 01201-6502
(413) 442-1019
(413) 447-8521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9727825
—
MA
Enumeration date
07/03/2006
Last updated
06/06/2012
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