Active NPIIndividual provider

Dr. Ethan A Flynn, MD

Pathology, Anatomic Pathology & Clinical Pathology in Pittsfield, Massachusetts

NPI Number1215963061
Practice location
Lab Berkshire Med Ctr, 725 North St, Pittsfield, MA 01201
Fax
413-447-2097
Last updated
July 8, 2007

Ethan Alexander Flynn is a Pathology, Anatomic Pathology & Clinical Pathology based in Pittsfield, MA. Ethan Alexander Flynn practices in Pittsfield, MA and has the professional credentials of MD. The NPI Number for Ethan Alexander Flynn is 1215963061 and holds a License No. 223784 (MA). The current practice location address for Ethan Alexander Flynn is Lab Berkshire Med Ctr, 725 North St, Pittsfield, MA 01201 and can be reached out via phone at 413-447-2567 and via fax at 413-447-2097.

Provider Profile Details

NPI Number
1215963061
Provider Name
Ethan Alexander Flynn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Lab Berkshire Med Ctr, 725 North St, Pittsfield, MA 01201
Phone Number
413-447-2567
Fax Number
413-447-2097
Sole Proprietor
No
Provider Enumeration Date
June 23, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Lab Berkshire Med Ctr
725 North St
Pittsfield, MA 01201
Zip
01201
Phone Number
413-447-2567
Fax Number
413-447-2097
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
215 Dawes Ave
Pittsfield, MA 01201-7349
City
Pittsfield
State
MA
Zip
01201-7349
Phone Number
413-447-2567
Fax Number
413-447-2097

License Information

License Number
223784
License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ethan A Flynn, MD?

The NPI number of Dr. Ethan A Flynn, MD is 1215963061. It was assigned on June 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ethan A Flynn, MD?

Dr. Ethan A Flynn, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in MA under license number 223784.

Where does Dr. Ethan A Flynn, MD practice?

The practice location is Lab Berkshire Med Ctr, 725 North St, Pittsfield, MA 01201. The office can be reached at 413-447-2567 (phone) or 413-447-2097 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215963061 directly on the NPPES registry website.

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