Individual
MR. GEORGE J CHISTAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 W BERN ST, HSC BLDG 22, READING, PA 19601
(610) 208-2276
(610) 208-2748
Mailing address
101 W BERN ST, HSC BLDG 22, READING, PA 19601
(610) 208-2276
(610) 208-2748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003540L
PA
Other
Enumeration date
12/15/2008
Last updated
01/13/2009
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