Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 274493 | MA |
NPI | 1003201989 |
---|---|
Provider Name | Patrick Chambers |
First Address | Pittsfield, MA 01201-8420 |
Second Address | Pittsfield, MA 01201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 21/11/2018 |