Healthcare Provider Details

I. General information

NPI: 1568438588
Provider Name (Legal Business Name): RICHARD S ROSENFELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 NORTH ST BERKSHIRE PEDIATRIC ASSOCIATES PC SUITE 305
PITTSFIELD MA
01201-4147
US

IV. Provider business mailing address

PO BOX 838 BERKSHIRE PEDIATRIC ASSOCIATES PC
WILBRAHAM MA
01095-0838
US

V. Phone/Fax

Practice location:
  • Phone: 413-499-8531
  • Fax: 413-499-8560
Mailing address:
  • Phone: 508-595-0531
  • Fax: 508-829-5367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number44007
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: