Healthcare Provider Details

I. General information

NPI: 1316236532
Provider Name (Legal Business Name): LINDSAY COBDEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY MILLER MD

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 NORTH ST STE 301
PITTSFIELD MA
01201-4172
US

IV. Provider business mailing address

300 CONGRESS ST
QUINCY MA
02169-0907
US

V. Phone/Fax

Practice location:
  • Phone: 134-499-8570
  • Fax: 413-499-8565
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number261722
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: