Organization Name: | BERKSHIRE OSTEOPATHIC HEALTH, LLC |
NPI Number: | 1689714040 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA A HOLMAN (MA AND OFFICE MANAGER) |
Mailing Address: | 42 Summer St Suite 301 Pittsfield |
State: | MA US |
Postal Code: | 012014624 |
Phone Number: | 4134420085 |
Fax Number: | 4134649143 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 08/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 233633 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |