Michael B Blackman, MD Valid NPI

Individual provider · Internal Medicine Physician · Pittsfield, MA

NPI

1558329177

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

208404 (MA)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-03

Last updated

2007-07-08