Doctor Name: | DR. NICHOLAS PANTELAKIS |
NPI Number: | 1205925179 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 33413 |
Business Practice Address: | 6 Essex Center Dr Suite 201 Peabody, MA - 019602910 |
Business Phone Number: | 9785314848 |
Business Fax Number: | 9785316036 |
Mailing Address: | 44 Bayberry Rd, NEWBURYPORT |
State: | MA |
Postal Code: | 019503466 |
Phone Number: | 9784657903 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 33413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |