East Elm Pediatrics

LBN: East Elm Pediatrics
East Elm Pediatrics is an health care organization with primary practice located at 426 East St , Pittsfield MA 01201-5308. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. East Elm Pediatrics can be contacted via phone (413) 442-8267, or through Dallenbach, John C via phone (413) 442-8267.

Contact Information

Primary practice address
426 East St Pittsfield MA 01201-5308
Phone: (413) 442-8267
Fax: (413) 442-8253
Website:
Map and Directions
Authorized official contact:
Name: Dallenbach, John C Doctor of Medicine (MD)
Phone: (413) 442-8267

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 155179 Massachusetts

Profile Details

NPI number 1215296777
LBN Legal business name East Elm Pediatrics
DBA Doing business as
Authorized official Dallenbach, John C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2012
Last updated May 3rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215296777 NPPES
Massachusetts MEDICAID 3172473

Popular Providers