Marc A Bleicher Md Pc | |
9 Center Ct Northampton MA 01060-3006 | |
(413) 582-0111 | |
(413) 582-0111 |
Full Name | Marc A Bleicher Md Pc |
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Speciality | Clinic/Center |
Location | 9 Center Ct, Northampton, Massachusetts |
Authorized Official Name and Position | Marc A Bleicher (OWNER) |
Authorized Official Contact | 4135820111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marc A Bleicher Md Pc 9 Center Ct Northampton MA 01060-3006 Ph: (413) 582-0111 | Marc A Bleicher Md Pc 9 Center Ct Northampton MA 01060-3006 Ph: (413) 582-0111 |
NPI Number | 1568959518 |
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Provider Enumeration Date | 04/16/2018 |
Last Update Date | 04/16/2018 |
Medicare PECOS PAC ID | 6103177670 |
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Medicare Enrollment ID | O20180921001808 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568959518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 151941 (Massachusetts) | Primary |
Provider Name | Marc Adam Bleicher |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265589394 PECOS PAC ID: 7214104926 Enrollment ID: I20120120000613 |
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