Vavvas, Demetrios

Vavvas, Demetrios is an individual health care provider with primary practice located at 243 Charles St , Boston MA 02114-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Vavvas, Demetrios can be contacted via phone (617) 573-5589.

Contact Information

Primary practice address
243 Charles St Boston MA 02114-3002
Phone: (617) 573-5589
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 216838 Massachusetts

Profile Details

NPI number 1518941285
LBN Legal business name Vavvas, Demetrios
Credentials M.D.,PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 17th, 2009 - about 17 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 1518941285 NPPES
Massachusetts MEDICAID 2009820

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