Provider Demographics
NPI:1619088234
Name:NOYES, DAVID T (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:T
Last Name:NOYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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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:413-881-5427
Mailing Address - Fax:413-496-6836
Practice Address - Street 1:41 WAHCONAH ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-2627
Practice Address - Country:US
Practice Address - Phone:413-447-2375
Practice Address - Fax:413-553-6769
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA14968208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0154784Medicaid
MANOI22271OtherBLUE SHIELD
MAA56064Medicare UPIN
MA0154784Medicaid