Cokonis, Clara D
Cokonis, Clara D is an individual health care provider with primary practice located at 230 Worcester St , Wellesley MA 02481-5491. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Cokonis, Clara D can be contacted via phone (781) 431-5255.Contact Information
Primary practice address
230 Worcester St
Wellesley MA 02481-5491
Phone: (781) 431-5255
Fax: (781) 431-5329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MA080103 | New Jersey |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 239784 | Massachusetts |
Profile Details
| NPI number | 1013174903 |
|---|---|
| LBN Legal business name | Cokonis, Clara D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | Feb 4th, 2021 - 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 | 1013174903 | NPPES |
| Massachusetts | MEDICAID | 110083810A |
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