Individual
LISA DAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
631B NORTH ST, GASTROENTEROLOGY OF THE BERKSHIRES, PITTSFIELD, MA 01201-4102
(413) 236-5944
(413) 236-5944
Mailing address
26 TAMIE WAY, PITTSFIELD, MA 01201-8221
(413) 236-0902
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
159073
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024783
BOSTON MEDICAL HEALTHNET
MA
05
—
02004180
—
NY
01
—
10034406
CAPITAL DISTRICT PHP
MA
01
—
100811
MVP HEALTH CARE
MA
01
—
159073
TUFTS HEALTH PLAN
MA
01
—
24861
HEALTH NEW ENGLAND
MA
01
—
303392
HAVARD PILGRAM HEALTH CAR
MA
05
—
3207455
—
MA
01
—
5696434
CIGNA HEALTH CARE
MD
01
—
57120168801201A001
CHAMPUS TRICARE
MA
01
—
57120688
GHI
MA
01
—
7820068
AMERICAN PIONEER
MA
01
—
J21391
MA BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/05/2005
Last updated
07/09/2007
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