Provider Demographics
NPI:1548251721
Name:KANTOR, HERBERT M (MD)
Entity type:Individual
Prefix:
First Name:HERBERT
Middle Name:M
Last Name:KANTOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4147
Mailing Address - Country:US
Mailing Address - Phone:413-499-8570
Mailing Address - Fax:413-499-8565
Practice Address - Street 1:777 NORTH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-499-8570
Practice Address - Fax:413-499-8565
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA59451207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
043517461OtherPHCS
043517461OtherHMC PPO
J07193OtherHMO BLUE
000000022180OtherBMC HEALTH NET PLAN
0020241OtherNEIGHBORHOOD HEALTH PLAN
043517461OtherNO AMERICAN ADMIN
40174OtherHEALTHY START
80314OtherGIC INDEMNITY PLAN
043517461OtherCHAMPUS
10029619OtherCAPITAL DISTRICT PHP
B74932OtherHARVARD COMM HEALTH
043517461OtherCIGNA
043517461OtherHCVM FIRST HEALTH
J07193OtherBLUE SHIELD
13477OtherHEATH NEW ENGLAND
152288OtherMVP SELECT
MA3032752Medicaid
3148243OtherAETNA
13477OtherHEATH NEW ENGLAND
40174OtherHEALTHY START