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NPI Code Detail

MEDICARE: RENE AILLON

MEDICARE: RENE AILLON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician29785MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023000650
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE AILLON
Provider Business Mailing Address
First Line : 100 NORTH ST
Second Line : STE 413
City : PITTSFIELD
State : MA
Zip : 01201-5109
Country : US
Telephone Number : 413-447-2555
Fax Number : 413-443-7039
Provider Business Practice Location Address
First Line : 725 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-4132
Country : US
Telephone Number : 413-447-2555
Fax Number : 413-443-7039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/08/2007

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Directions to “ RENE AILLON ” Practice Location

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