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1770572273
MICHAEL ROSS DISIENA
PITTSFIELD, MA
NPI
1770572273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086X0206X Surgery, Surgical Oncology
(Licence: MA 155050)
Enumeration Date
2005-10-18
Last Update Date
2007-09-26
Business Address
-- MICHAEL ROSS DISIENA D.O.
777 NORTH ST SUITE 407
PITTSFIELD, MA 01201-4147
Phone number: 413-445-6420
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Mailing Address
-- MICHAEL ROSS DISIENA D.O.
777 NORTH ST PO BOX 1677
PITTSFIELD, MA 01202-1677
Phone number: 413-445-6420
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