Provider Demographics
NPI:1710987177
Name:KRIEBEL, GEORGE W JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:W
Last Name:KRIEBEL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 8019
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01102-8000
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:70 MAIN ST
Practice Address - Street 2:NORTHAMPTON HEALTH CENTER
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1466
Practice Address - Country:US
Practice Address - Phone:413-586-8400
Practice Address - Fax:413-585-5491
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2008-06-17
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Provider Licenses
StateLicense IDTaxonomies
MA515102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1293423OtherFALLON
MAJ08426OtherBLUE CROSS & BLUE SHIELD
MA13691OtherHEALTH NEW ENGLAND
MA3045641Medicaid
MAIP324749OtherMAGELLAN
MA051510OtherTUFTS
MA2034133OtherCIGNA BEHAVIORAL HEALTH
MA1293423OtherFALLON
MAIP324749OtherMAGELLAN