Organization
PEDIATRIC DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN ATWOOD (EXECUTIVE DIRECTOR)
(413) 499-4537
Entity
Organization
Contact information
Practice address
388 COLUMBUS AVE, PITTSFIELD, MA 01201-4903
(413) 499-4537
(413) 448-8223
Mailing address
388 COLUMBUS AVE, PITTSFIELD, MA 01201-4903
(413) 499-4537
(413) 448-8223
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
356074
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1800701
—
MA
Enumeration date
11/30/2006
Last updated
08/22/2020
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