Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Lake Pathology PC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1730601303

Crystal Lake Pathology PC is an Anatomic Pathology & Clinical Pathology Physician in Gardner, Massachusetts. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

242 Green St
Gardner, MA 01440
Phone: (978) 630-6535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1730601303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maha Farhat — Pathologist · (617) 645-1511
NPI enumeratedJuly 14, 2017
Last updated in NPPESJuly 14, 2017
Mailing address242 Green St, Gardner, MA 01440-1336

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