| Organization Name: | PAC ASSOCIATES |
| NPI Number: | 1447535141 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK MANZO (PRESIDENT) |
| Mailing Address: | 383 East St Lenox |
| State: | MA US |
| Postal Code: | 012402234 |
| Phone Number: | 4138814066 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2011 |
| NPI Last Update Date: | 01/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | PA3715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |