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Dr. Thomas Ptak, MDPHD
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1467436394

Thomas Ptak is a Diagnostic Radiology Physician based in Boston, MA and is specialized in Diagnostic Radiology. Thomas Ptak practices in Worcester, MA and has the professional credentials of MDPHD. The NPI Number for Thomas Ptak is 1467436394 and holds a License No. D0083946 (Massachusetts).

The current practice location address for Thomas Ptak is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-3850.

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467436394
Provider Name
Thomas Ptak
Credential
MDPHD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
508-334-3850
Fax Number
Provider Enumeration Date
12/05/2005
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
091658433 05 DC
889007200 05 MD
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-3850
Fax Number
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-3850
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
D0083946 (Maryland)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
D0083946 (Maryland)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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