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Individual

PETER G. CHRISTAKOS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2175
(413) 582-2954
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2175
(413) 582-2954

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
223215
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000029147
BMC
MA
01
011303
TUFTS
MA
05
2092361
MA
01
35391
HEALTH NEW ENGLAND
MA
01
6301423
CIGNA
MA
01
AA25150
HARVARD PILGRIM
MA
01
J24564
BCBS MA
MA
Enumeration date
01/12/2006
Last updated
07/08/2007
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