Vanden Bosch, Mark P
Vanden Bosch, Mark P is an individual health care provider with primary practice located at 725 North St Berkshire Medical Center, Pittsfield MA 01201-4132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Vanden Bosch, Mark P can be contacted via phone (413) 447-2555.Contact Information
Primary practice address
725 North St Berkshire Medical Center
Pittsfield MA 01201-4132
Phone: (413) 447-2555
Fax: (413) 443-7039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 214246 | Massachusetts |
Profile Details
| NPI number | 1336132521 |
|---|---|
| LBN Legal business name | Vanden Bosch, Mark P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336132521 | NPPES |
| Massachusetts | MEDICAID | 0180807 |
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