Individual
CHRISTOPHER THERIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 825-5115
Mailing address
81 HIGHLAND AVE, SALEM, MA 01970-2714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2102
MA
Other
Enumeration date
01/09/2007
Last updated
01/19/2016
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