Provider Demographics
NPI:1063468171
Name:UFFORD, LAURENCE J (MD)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:J
Last Name:UFFORD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:725 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4109
Mailing Address - Country:US
Mailing Address - Phone:413-447-2752
Mailing Address - Fax:413-496-6836
Practice Address - Street 1:777 NORTH ST
Practice Address - Street 2:NEUROLOGY
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4147
Practice Address - Country:US
Practice Address - Phone:413-395-7694
Practice Address - Fax:413-496-6842
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2024-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH233482084N0400X
NY2316062084N0400X
ORMD2133192084N0400X
MA2274192084N0400X
CT761682084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology