Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 178157 | MA |
NPI | 1114051059 |
---|---|
Provider Name | Ms. Evelyn Resh |
First Address | Pittsfield, MA 01201-4147 |
Second Address | Pittsfield, MA 01201-4172 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 22/05/2017 |