Athanasoulis, Christos A
Athanasoulis, Christos A is an sole proprietor health care provider with primary practice located at 55 Fruit St Grb 2, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Athanasoulis, Christos A can be contacted via phone (617) 726-8319.Contact Information
Primary practice address
55 Fruit St Grb 2
Boston MA 02114-2696
Phone: (617) 726-8319
Fax: (617) 726-8476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 32803 | Massachusetts |
Profile Details
| NPI number | 1124019757 |
|---|---|
| LBN Legal business name | Athanasoulis, Christos A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124019757 | NPPES |
| Massachusetts | Other | 032803 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 2085127 | TUFTS HEALTH PLAN |
| Massachusetts | Other | M08036 | TUFTS HEALTH PLAN |
Popular Providers
-
Artinian, Mihran A
125 Parker Hill Ave , Boston MA 02120-2847 -
Bass, James C
55 Fruit St , Boston MA 02114-2696 -
Halin, Neil Jonathan
750 Washington St Nemc Box 253, Boston MA 02111-1526 -
Patel, Aman B
15 Parkman St Wac-745, Boston MA 02114-3117 -
Stecker, Michael S
75 Francis St Radiology Brighamt Womens Hospital, Boston MA 02115-6110 -
Hirsch, Joshua Adam
50 Fruit St Gray 241, Boston MA 02114-2620 -
Byse, Barbara
1153 Centre St Radiology Faulkner Hospital, Boston MA 02130 -
Moss, Roy L
840 Harrison Ave , Boston MA 02118-2905