Irene Dimitriadis M.D.

NPI 1134482748 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1134482748
Gender Female
Enumeration Date 06/19/2012
Last Updated 06/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
800 WASHINGTON ST
BOX 022
BOSTON MA, 02111-1552, US
Phone (617) 636-5000
Fax
Business Location
800 WASHINGTON ST
BOX 022
BOSTON MA, 02111-1552, US
Phone (617) 636-5000
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Massachusetts
License Number 252802
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According to our database, Dr. Irene Dimitriadis M.D. NPI is 1134482748, taxonomy code is 207V00000X and license number is 252802, license state is located at Massachusetts. Irene Dimitriadis M.D. physically located at 800 Washington St, Boston MA, 02111-1552. NPI Number Irene Dimitriadis M.D. has the Individual type.

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1134482748 NPI number is provided on an as is basis without warranty of any kind. 1134482748 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Dimitriadis M.D. are for informational purposes only.