Mark P Vanden Bosch, MD | |
725 North St, Berkshire Medical Center, Pittsfield, MA 01201-4132 | |
(413) 447-2555 | |
(413) 443-7039 |
Full Name | Mark P Vanden Bosch |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 725 North St, Pittsfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336132521 | NPI | - | NPPES |
0180807 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 214246 (Massachusetts) | Primary |
Entity Name | Berkshire Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088 |
Entity Name | Fairview Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942474176 PECOS PAC ID: 1254240773 Enrollment ID: O20081020000175 |
Mailing Address | Practice Location Address |
---|---|
Mark P Vanden Bosch, MD 100 North St, Ste 413, Pittsfield, MA 01201-5109 Ph: (413) 447-2555 | Mark P Vanden Bosch, MD 725 North St, Berkshire Medical Center, Pittsfield, MA 01201-4132 Ph: (413) 447-2555 |
Raymond G Sohl, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 725 North St, Berkshire Medical Center, Pittsfield, MA 01201 Phone: 413-447-2555 Fax: 413-443-7039 | |
Rene Aillon, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-447-2555 Fax: 413-443-7039 | |
Robert W Malinowski, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 725 North St, Berkshire Medical Center, Pittsfield, MA 01201 Phone: 413-447-2555 Fax: 413-443-7039 | |
Talal Ahmad Makkaoui, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 725 North Street, Berkshire Medical Center, Pittsfield, MA 01201 Phone: 413-447-2555 Fax: 413-443-7039 | |
Rene William Aillon, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Berkshire Medical Center, 725 North Street, Pittsfield, MA 01201 Phone: 413-447-2555 Fax: 413-443-7039 | |
Gregory M. Sheehan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-395-7655 Fax: 413-447-2667 |