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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL ROSS DISIENA, D.O.

Active

MICHAEL ROSS DISIENA, D.O. is a Surgical Oncology healthcare provider located in PITTSFIELD, Massachusetts. NPI 1770572273 is currently active in the NPPES registry. Verify at CMS.

Surgical Oncology · PITTSFIELD, MA

Registration Details

NPI Number
1770572273
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2005 (20.84852832824 yrs)
Last Updated
Sep 26, 2007
License
155050 (MA)

Practice Information

Address
777 NORTH ST
SUITE 407
PITTSFIELD, MA, 012014147
Browse MA providers · Browse ZIP 01201
Phone
4134456420
Fax
4134994907
Primary Specialty
Surgical Oncology
2086X0206X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.