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Contact Information

ETHAN A FLYNN, MD
LAB BERKSHIRE MED CTR
725 NORTH ST
PITTSFIELD, MA01201
 Phone: 413-447-2567
 Fax: 413-447-2097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ETHAN A FLYNN · (Male)

NPI Number 1215963061
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 223784
  • MA Medicaid 2101807
  • MA Other J28642 MASS BS/BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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