Healthcare Provider Details

I. General information

NPI: 1124001565
Provider Name (Legal Business Name): JOSEPH LAWRENCE PFEIFER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 NORTH STREET
PITTSFIELD MA
01201-4109
US

IV. Provider business mailing address

725 NORTH STREET
PITTSFIELD MA
01201-4109
US

V. Phone/Fax

Practice location:
  • Phone: 413-447-2745
  • Fax: 413-346-6703
Mailing address:
  • Phone: 413-881-5427
  • Fax: 413-496-6836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number235309
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number235309
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: