MEDICARE: PAUL A REDSTONE M.D.

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
1	2084P0804X	Child & Adolescent Psychiatry Physician	29110	MA

General Provider Information

NPI Number	:	1083651756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL A REDSTONE M.D.

Provider Business Mailing Address
First Line	:	8 ATWOOD DR
Second Line	:	SUITE 201
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-4266
Country	:	US
Telephone Number	:	413-582-0471
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 ATWOOD DR
Second Line	:	SUITE 201
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-4266
Country	:	US
Telephone Number	:	413-582-0471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	11/03/2016

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Directions to “ PAUL A REDSTONE M.D.” Practice Location

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