Glavas, Ioannis P
Glavas, Ioannis P is an individual health care provider with primary practice located at 115 Newbury St , Boston MA 02116-2935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Glavas, Ioannis P can be contacted via phone (617) 725-1921.Contact Information
Primary practice address
115 Newbury St
Boston MA 02116-2935
Phone: (617) 725-1921
Fax: (866) 365-1847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 207834 | Massachusetts |
Profile Details
| NPI number | 1093708778 |
|---|---|
| LBN Legal business name | Glavas, Ioannis P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Mar 5th, 2022 - about 3 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 | 1093708778 | NPPES |
| Massachusetts | Other | 3561734 | AETNA/US HEALTHCARE |
| Massachusetts | Other | AA16977 | AETNA/US HEALTHCARE |
| Massachusetts | Other | J27979 | AETNA/US HEALTHCARE |
| Massachusetts | Other | 469615 | AETNA/US HEALTHCARE |
| Massachusetts | Other | CE5062 | AETNA/US HEALTHCARE |
| Massachusetts | Other | 0033970 | AETNA/US HEALTHCARE |
| Massachusetts | Other | 0801592 | AETNA/US HEALTHCARE |
| Massachusetts | MEDICAID | 2071045 | AETNA/US HEALTHCARE |
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