Organization
CRYSTAL LAKE PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHA FARHAT MD (PATHOLOGIST)
(617) 645-1511
Entity
Organization
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440
(978) 630-6535
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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