Provider Demographics
NPI:1730294794
Name:PIHAN, GERMAN A (MD)
Entity Type:Individual
Prefix:
First Name:GERMAN
Middle Name:A
Last Name:PIHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BETH ISRAEL MED CTR/PATHOLOGY
Mailing Address - Street 2:330 BROOKLINE AVENUE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01225
Mailing Address - Country:US
Mailing Address - Phone:617-667-3603
Mailing Address - Fax:
Practice Address - Street 1:BETH ISRAEL DEACONESS MED CTR/PATHOLOGY
Practice Address - Street 2:330 BROOKLINE AVENUE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:01225
Practice Address - Country:US
Practice Address - Phone:617-667-3603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77351207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology