Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 217300 | MA |
NPI | 1013900786 |
---|---|
Provider Name | Raymond G Sohl |
First Address | Pittsfield, MA 01201-5109 |
Second Address | Pittsfield, MA 01201-4132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2014394 | (05) | MA |
H85922 | (02) |