Search › Massachusetts › 208100000X
Christopher Ilacqua, M.D
NPI 1528291127 · on the registry since 2009
Practice
- Address
- 100 South St
Southbridge, MA 01550 - Phone
- (508) 909-8590
- Fax
- (508) 909-8589
- Organisation at this address
- Belezos Medical Pc
Hugh M. Cooper Md Pc
Donald J Gentile Md Pc
Focused Primary Care Pc
Imaging Consultants IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 138
Additional practice sites
- 123 Summer Street, Worcester, MA
- 3401 N Broad St Lowr Level, Philadelphia, PA
- 1800 Lombard St, Philadelphia, PA
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 2255A2300X
208100000X - Licence states on file
- MA, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts