Healthcare Provider Details

I. General information

NPI: 1093798415
Provider Name (Legal Business Name): BERKSHIRE PEDIATRIC ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 01/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 NORTH ST STE 305 BERKSHIRE PEDIATRIC ASSOCIATES PC
PITTSFIELD MA
01201-4172
US

IV. Provider business mailing address

777 NORTH ST STE 305 BERKSHIRE PEDIATRIC ASSOCIATES PC
PITTSFIELD MA
01201-4172
US

V. Phone/Fax

Practice location:
  • Phone: 413-499-8531
  • Fax: 413-499-8560
Mailing address:
  • Phone: 413-499-8531
  • Fax: 413-499-8560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD S ROSENFELD
Title or Position: MD PRESIDENT
Credential: MD
Phone: 413-499-8534