Healthcare Provider Details

I. General information

NPI: 1376773234
Provider Name (Legal Business Name): ARTSIOM V TSYRKUNOU MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2009
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 NORTH ST
PITTSFIELD MA
01201-4109
US

IV. Provider business mailing address

631B NORTH ST
PITTSFIELD MA
01201-4102
US

V. Phone/Fax

Practice location:
  • Phone: 413-881-5427
  • Fax: 413-496-6836
Mailing address:
  • Phone: 413-881-5427
  • Fax: 413-496-6836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number257684
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number257684
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: