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Contact Information

CYTODX PHYSICIAN SERVICES
200 CORPORATE PL
SUITE #8
PEABODY, MA01960-3840
 Phone: 978-548-5204
 Fax: 978-535-1934
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CYTODX PHYSICIAN SERVICES · (Female)

NPI # 1710008719
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9781129
  • MA Other CYM16695 BLUE CROSS PROVIDER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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