Provider Demographics
NPI:1760500375
Name:BERKSHIRE HEMATOLOGY ONCOLOGY
Entity Type:Organization
Organization Name:BERKSHIRE HEMATOLOGY ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, BILLING OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHRETIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-443-7071
Mailing Address - Street 1:PO BOX 416402
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6402
Mailing Address - Country:US
Mailing Address - Phone:413-443-7071
Mailing Address - Fax:413-499-0330
Practice Address - Street 1:8 CONTE DR
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-8298
Practice Address - Country:US
Practice Address - Phone:413-443-6000
Practice Address - Fax:413-442-2260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5622810001Medicare NSC