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Individual

DR. PHILIP S VOLASTRO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 NORTH ST, SUITE 201 A, PITTSFIELD, MA 01201-4147
(413) 499-8551
(413) 442-9161
Mailing address
777 NORTH ST, SUITE 201 A, PITTSFIELD, MA 01201-4147
(413) 499-8551
(413) 442-9161

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
67978
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00574507
NY
01
034645
TUFTS HEALTHPLAN
MA
01
10034439
CDPHP
NY
05
2059215
MA
01
365678
MVP
NY
01
D82850
HARVARD PILGRIM HEALTHCAR
MA
01
I22191
BCBSMA
MA
Enumeration date
01/23/2006
Last updated
07/08/2007
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