Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1223 | MA |
NPI | 1194890160 |
---|---|
Provider Name | Dr. Ronald Joseph Piazza |
First Address | Pittsfield, MA 01201-1503 |
Second Address | Pittsfield, MA 01201-1503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 15/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1608312 | (05) | MA |