MEDICARE: BERKSHIRE HEMATOLOGY ONCOLOGY, P.C.

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1164619276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERKSHIRE HEMATOLOGY ONCOLOGY, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 18612
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07191-8612
Country	:	US
Telephone Number	:	413-443-7071
Fax Number	:	413-499-0330

Provider Business Practice Location Address
First Line	:	27 LEWIS AVE
Second Line	:
City	:	GREAT BARRINGTON
State	:	MA
Zip	:	01230-1886
Country	:	US
Telephone Number	:	413-443-7071
Fax Number	:	413-499-0330

Authorized Official
Title or Position	:	MANAGER, BILLING OFFICE
Name	:	JOANNE MARIE CHRETIEN
Credential	:
Telephone Number	:	413-443-7071

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	10/02/2007

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