East Elm Pediatrics
Pediatric Adolescent Medicine
East Elm Pediatrics is a Pittsfield, Massachusetts based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
426 East St, Pittsfield, Massachusetts - 01201-5308. They can be contacted on phone at
413-442-8267 and fax number 413-442-8253.
NPI number (Unique professional ID) for East Elm Pediatrics is
1215296777 which was assigned by NPPES on 03 May, 2012 and it was last updated on 03 May, 2012.
East Elm Pediatrics license number is
155179 for Pediatrics Adolescent Medicine (2080A0000X) in Massachusetts.
East Elm Pediatrics specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
East Elm Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | East Elm Pediatrics |
|---|
Business Address:
East Elm Pediatrics address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 426 East St
Pittsfield, MA, 01201-5308
United States |
|---|
| Phone Number : | 413-442-8267 |
|---|
| Fax Number : | 413-442-8253 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215296777 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 May, 2012 |
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| Last Updated On : | 03 May, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Johnc Dallenbach |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 413-442-8267 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Elm Pediatrics are as mentioned. Primary taxonomy code for East Elm Pediatrics is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 155179 | MA |
Legacy Identifiers:
Other legacy medical identifiers of East Elm Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3172473 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 426 East St
Pittsfield, MA, 01201-5308
United States |
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| Phone Number : | 413-442-8267 |
|---|
| Fax Number : | 413-442-8253 |
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Business Location:
Patients can refer following map for directions to
East Elm Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.