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NPI Code Detail

MEDICARE: DR. GEORGE W KRIEBEL JR. M.D.

MEDICARE: DR. GEORGE W KRIEBEL JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician51510MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11293423OTHERMAFALLON
2J08426OTHERMABLUE CROSS & BLUE SHIELD
313691OTHERMAHEALTH NEW ENGLAND
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5IP324749OTHERMAMAGELLAN
6051510OTHERMATUFTS
72034133OTHERMACIGNA BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1710987177
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE W KRIEBEL JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 8019
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01102-8000
Country : US
Telephone Number : 866-431-4077
Fax Number : 413-774-7448
Provider Business Practice Location Address
First Line : 70 MAIN ST
Second Line : NORTHAMPTON HEALTH CENTER
City : FLORENCE
State : MA
Zip : 01062-1466
Country : US
Telephone Number : 413-586-8400
Fax Number : 413-585-5491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 06/17/2008

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