Individual
MICHAEL KRISTOPHER JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 447-7972
Mailing address
109 EUCLID AVE, PITTSFIELD, MA 01201-5925
(240) 449-6205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
027584
NY
363A00000X
Physician Assistant
Primary
PA8749
MA
Other
Enumeration date
09/18/2020
Last updated
10/11/2022
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