Provider Demographics
NPI:1184636987
Name:BIRD, ALISON L (PA)
Entity Type:Individual
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First Name:ALISON
Middle Name:L
Last Name:BIRD
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Gender:F
Credentials:PA
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Mailing Address - Street 1:77 VINTON POND RD
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:MA
Mailing Address - Zip Code:01474-1104
Mailing Address - Country:US
Mailing Address - Phone:978-534-6333
Mailing Address - Fax:978-840-0966
Practice Address - Street 1:100 HOSPITAL RD
Practice Address - Street 2:SUITE 3C
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2253
Practice Address - Country:US
Practice Address - Phone:978-534-6333
Practice Address - Fax:978-840-0966
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2023-08-09
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Provider Licenses
StateLicense IDTaxonomies
MA669363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S45979Medicare UPIN