Healthcare Provider Details
I. General information
NPI: 1205881836
Provider Name (Legal Business Name): BERKSHIRE ANESTHESIOLOGISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
725 N ST BERKSHIRE MEDICAL CENTER
PITTSFIELD MA
01201
US
IV. Provider business mailing address
100 NORTH ST STE 413
PITTSFIELD MA
01201
US
V. Phone/Fax
- Phone: 413-447-2555
- Fax: 413-447-2889
- Phone: 413-499-0141
- Fax: 413-443-7039
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | MA |
VIII. Authorized Official
Name:
DAVID
I
POMERANTZ
Title or Position: PRESIDENT
Credential: MD
Phone: 413-499-0141