Christopher Theriault, PA-C

NPI #1750430047 in Salem, Massachusetts

Provider Information

NPI Number: 1750430047
Entity Type: Individual
Name: Christopher Theriault, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 9, 2007
Last Updated: Jan 19, 2016

Practice Location

Address: 81 HIGHLAND AVE
City: Salem
State: Massachusetts
ZIP Code: 01970-2714
Phone: (978) 825-5115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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