NPI 1316099187

Alexander Johnson, CPCERTIFIEDPROSTHE

Practitioner Orthotic Fitter Pittsfield, MA

Practice location

Address: 99 First St Berkshire Prosthetic Center, Pittsfield, MA 01201-4745
Phone: (413) 442-5381
Mailing address: 66 Seekonk Crossroad, Great Barrington, MA 01230-1569

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence P1026

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Registry record

NPI: 1316099187
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.