Individual
JEFFREY A BIALOBOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
19 DEPOT ST STE 1, ADAMS, MA 01220-1852
(413) 743-1080
(413) 743-5306
Mailing address
PO BOX 30, GREAT BARRINGTON, MA 01230-0030
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP3386
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2336625
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110158203A
—
MA
Enumeration date
11/12/2009
Last updated
08/12/2020
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