Coukos, William J

Coukos, William J is an individual health care provider with primary practice located at 11 Nevins St Suite 503, Brighton MA 02135-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Coukos, William J can be contacted via phone (617) 782-1200.

Contact Information

Primary practice address
11 Nevins St Suite 503 Brighton MA 02135-3514
Fax: (617) 782-1521
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 57264 Massachusetts

Profile Details

NPI number 1982606349
LBN Legal business name Coukos, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982606349 NPPES
Massachusetts MEDICAID 3045765

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