Most Relevant Information
Provider Data
| NPI Number: | 1003207929 |
| Provider Name: | REID MOTHA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 146N00000X |
| Specialty: | Emergency Medical Technician, Basic |
| License Number: | E881169 |
Most Important Dates
| Enumeration Date: | 02/13/2015 |
| Last Updated: | 02/13/2015 |
Provider Practice Location
30 LOCUST ST
NORTHAMPTON
MA
010602052
Practice Location Phone/Fax
| Phone: | 4135822000 |
| Fax: |
Provider Mailing Location
PO BOX 633
PITTSFIELD
MA
012020633
Provider Mailing Phone/Fax
| Phone: | 4135822363 |
| Fax: |