Individual
DR. NICHOLAS PANTELAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 ESSEX CENTER DR, SUITE 201, PEABODY, MA 01960-2910
(978) 531-4848
(978) 531-6036
Mailing address
44 BAYBERRY RD, NEWBURYPORT, MA 01950-3466
(978) 465-7903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33413
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002009
ONE HEALTH
MA
01
—
033413
TUFTS HEALTH
MA
01
—
13387
HARVARD-PILGRIM
MA
01
—
199310
CIGNA
MA
05
—
2027356
—
MA
01
—
329847
UNITED HEALTHCARE
MA
01
—
39291
FALLON
MA
01
—
93625
AETNA
MA
01
—
993595
NETWORK HEALTH
MA
01
—
MO8620
BCBS
MA
Enumeration date
10/11/2006
Last updated
07/08/2007
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