| Veronica Deyeso Md Pc | |
|
261 South St Pittsfield MA 01201-6810 | |
| (413) 443-9082 | |
| (413) 443-0361 |
| Full Name | Veronica Deyeso Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 261 South St, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Veronica O Deyeso (OWNER) |
| Authorized Official Contact | 4134439082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Veronica Deyeso Md Pc 261 South St Pittsfield MA 01201-6810 Ph: (413) 443-9082 | Veronica Deyeso Md Pc 261 South St Pittsfield MA 01201-6810 Ph: (413) 443-9082 |
| NPI Number | 1225315948 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 11/09/2011 |
| Medicare PECOS PAC ID | 5890956163 |
|---|---|
| Medicare Enrollment ID | O20120412000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225315948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Veronica O Deyeso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508967456 PECOS PAC ID: 8325094386 Enrollment ID: I20050323000852 |
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