Provider Demographics
NPI:1558377663
Name:ZUFLACHT, RICHARD NEIL (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:NEIL
Last Name:ZUFLACHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-0067
Mailing Address - Country:US
Mailing Address - Phone:413-448-6116
Mailing Address - Fax:413-445-5602
Practice Address - Street 1:21 GEORGE ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6712
Practice Address - Country:US
Practice Address - Phone:413-448-6116
Practice Address - Fax:413-445-5602
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52295207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6175767Medicaid
MA052295OtherTUFTS
MA4532192OtherAETNA
MAJ02886OtherBLUE SHIELD MASSACHUSETTS
MAJ02886OtherBLUE SHIELD MASSACHUSETTS
MAB87100Medicare UPIN