| John C Dallenbach, MD | |
|
426 East St, Pittsfield, MA 01201-5308 | |
| (413) 442-8267 | |
| Not Available |
| Full Name | John C Dallenbach |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 426 East St, Pittsfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235178229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 155179 (Massachusetts) | Primary |
| Entity Name | Pratt Pediatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127 |
| Entity Name | Berkshire Faculty Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Dallenbach, MD 51 Wellesley St, Pittsfield, MA 01201-7307 Ph: (413) 442-8267 | John C Dallenbach, MD 426 East St, Pittsfield, MA 01201-5308 Ph: (413) 442-8267 |
Dr. Alan Gray Kulberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 North St Ste 305, Berkshire Pediatric Associates Pc, Pittsfield, MA 01201 Phone: 413-499-8535 Fax: 413-499-8535 | |
Alec Richard Allain, Pediatrics Medicare: Medicare Enrolled Practice Location: 758 East St, Pittsfield, MA 01201 Phone: 413-448-8218 | |
Betsy K Valade, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 777 North Street, Pittsfield, MA 01201 Phone: 413-499-8531 Fax: 413-499-8560 | |
Adam Gicewicz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 758 East St, Pittsfield, MA 01201 Phone: 134-448-8212 Fax: 413-443-5296 | |
Dr. Gary S Shalan, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 777 North Street, Pittsfield, MA 01201 Phone: 413-499-8531 Fax: 413-499-8560 | |
David I Sorkin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-447-2000 |