Organization
PERINATAL DIAGNOSTIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ACHILLES MARIO ATHANASSIOU MD (OWNER)
(978) 579-9496
Entity
Organization
Contact information
Practice address
167 BELCHER DR, SUDBURY, MA 01776-1278
(978) 579-9496
(978) 579-9496
Mailing address
167 BELCHER DR, SUDBURY, MA 01776-1278
(978) 579-9496
(978) 579-9496
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
80677
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3167470
—
MA
Enumeration date
06/07/2011
Last updated
06/07/2011
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