Organization
NEUROLOGICAL DIAGNOSTIC AND TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ROBERT EDWARDS MD (CEO)
(802) 447-7577
Entity
Organization
Contact information
Practice address
276 SOUTH ST, PITTSFIELD, MA 01201-6835
(413) 499-5888
(413) 499-3337
Mailing address
160 BENMONT AVE, SUITE 25, BENNINGTON, VT 05201-1873
(802) 447-7577
(802) 447-2676
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9730265
—
MA
Enumeration date
08/31/2006
Last updated
02/12/2009
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