| Neurological Diagnostic And Treatment Center Inc | |
|
276 South St Pittsfield MA 01201-6835 | |
| (413) 499-5888 | |
| (413) 499-3337 |
| Full Name | Neurological Diagnostic And Treatment Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 276 South St, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Keith Robert Edwards (CEO) |
| Authorized Official Contact | 8024477577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurological Diagnostic And Treatment Center Inc 160 Benmont Ave Suite 25 Bennington VT 05201-1873 Ph: (802) 447-7577 | Neurological Diagnostic And Treatment Center Inc 276 South St Pittsfield MA 01201-6835 Ph: (413) 499-5888 |
| NPI Number | 1942311949 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942311949 | NPI | - | NPPES |
| 9730265 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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