Individual
DR. CHRISTOPHER R KEROACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL CENTER DR, SUITE 202, SPRINGFIELD, MA 01107-1270
(413) 205-1200
(413) 205-1220
Mailing address
2 MEDICAL CENTER DR, SUITE 202, SPRINGFIELD, MA 01107-1270
(413) 205-1200
(413) 205-1220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160647
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113816
—
MA
Enumeration date
06/07/2006
Last updated
10/26/2022
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