Organization
BERKSHIRE MOBILE MEDICINE, P.C.
Active
Other names
Greylock Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J KELLOGG PA (PRESIDENT)
(413) 445-6800
Entity
Organization
Contact information
Practice address
20 WILLIAMSTOWN RD STE 4, LANESBOROUGH, MA 01237-9548
(413) 445-6800
(413) 707-4959
Mailing address
20 WILLIAMSTOWN RD STE 4, LANESBOROUGH, MA 01237-9548
(413) 445-6800
(413) 707-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156843
MA
363AM0700X
Medical Physician Assistant
Primary
1520
MA
Other
Enumeration date
09/10/2012
Last updated
08/07/2023
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