Individual
DR. CHRISTOPHER P KEUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRIC HEMATOLOGY/ONCOLOGY, WORCESTER, MA 01655-0002
(508) 856-4225
(774) 441-8057
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
209576
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110004919A
—
MA
Enumeration date
11/20/2005
Last updated
10/21/2019
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