Healthcare Provider Details

I. General information

NPI: 1184777849
Provider Name (Legal Business Name): PITTSFIELD MEDICAL & SURGICAL, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 LOUDON RD
PITTSFIELD NH
03263-3604
US

IV. Provider business mailing address

44 LOUDON RD
PITTSFIELD NH
03263-3604
US

V. Phone/Fax

Practice location:
  • Phone: 603-435-8336
  • Fax: 603-443-5693
Mailing address:
  • Phone: 603-435-8336
  • Fax: 603-443-5693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN F BARKSDALE
Title or Position: PRESIDENT
Credential: MD
Phone: 603-435-8336