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Individual
PETER A ZARKADAS
Active
Individual
PETER A ZARKADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1019522
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P05901
BLUE CROSS
MA
Enumeration date
11/20/2006
Last updated
03/31/2010
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