person
Dr. Larry J Pellish, MD
Specialist in Pittsfield, Massachusetts
NPI 1821069832

Larry J Pellish is a Specialist based in Pittsfield, MA. Larry J Pellish practices in Pittsfield, MA and has the professional credentials of MD. The NPI Number for Larry J Pellish is 1821069832 and holds a License No. 40795 (Massachusetts).

The current practice location address for Larry J Pellish is 777 North St, Pittsfield, MA and can be reached out via phone at 413-499-8590 and via fax at 413-499-6410.

Location: 777 North St, Pittsfield, MA, 01201-4147
person
Provider Profile Details
NPI Number
1821069832
Provider Name
Larry J Pellish
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 North St, Pittsfield, MA, 01201-4147
Phone Number
413-499-8590
Fax Number
413-499-6410
Provider Enumeration Date
01/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00536205 05 NY
10034390 01 NY CDPHP
15329 01 MA HEALTH NEW ENGLAND
2056186 05 MA
365677 01 NY MVP
A66253 01 MA HARVARD PILGRIM HEALTHCAR
040795 01 MA TUFTS HEALTHPLAN
I22244 01 MA BCBSMA
institution
Provider Business Practice Location Address Details
Address
777 North St
City
State
Zip
01201-4147
Phone Number
413-499-8590
Fax Number
413-499-6410
person
Provider Business Mailing Address Details
Address
777 North St
City
State
Zip
01201-4147
Phone Number
413-499-8590
Fax Number
413-499-6410
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
40795 (Massachusetts)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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