Anagnostou, Athanasius A

Anagnostou, Athanasius A is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Hematology/Oncology, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Anagnostou, Athanasius A can be contacted via phone (508) 334-5141.

Contact Information

Primary practice address
55 Lake Ave N Department Of Hematology/Oncology Worcester MA 01655-0002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 212900 Massachusetts

Profile Details

NPI number 1174505648
LBN Legal business name Anagnostou, Athanasius A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 1st, 2009 - about 15 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 1174505648 NPPES
Massachusetts MEDICAID 0164160

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