Stoddard Medical Associates, Llc | |
15 Stoddard Ave Pittsfield MA 01201-4215 | |
(413) 448-2447 | |
(413) 448-2450 |
Full Name | Stoddard Medical Associates, Llc |
---|---|
Speciality | Nurse Practitioner - Adult Health |
Location | 15 Stoddard Ave, Pittsfield, Massachusetts |
Authorized Official Name and Position | Patricia Lehmann (OWNER) |
Authorized Official Contact | 4134482447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stoddard Medical Associates, Llc 15 Stoddard Ave Pittsfield MA 01201-4215 Ph: (413) 448-2447 | Stoddard Medical Associates, Llc 15 Stoddard Ave Pittsfield MA 01201-4215 Ph: (413) 448-2447 |
NPI Number | 1356421713 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356421713 | NPI | - | NPPES |
9731881 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 46404 (Massachusetts) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 14566 (Massachusetts) | Primary |
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