Healthcare Provider Details

I. General information

NPI: 1194890160
Provider Name (Legal Business Name): RONALD JOSEPH PIAZZA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 NORTH ST
PITTSFIELD MA
01201-1503
US

IV. Provider business mailing address

835 NORTH ST
PITTSFIELD MA
01201-1503
US

V. Phone/Fax

Practice location:
  • Phone: 413-442-5022
  • Fax: 413-499-1946
Mailing address:
  • Phone: 413-442-5022
  • Fax: 413-499-1946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number1223
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: