Georgakis, Alexander

Georgakis, Alexander is an individual health care provider with primary practice located at 110 Liberty St , Brockton MA 02301-5521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Georgakis, Alexander can be contacted via phone (508) 894-0400.

Contact Information

Primary practice address
110 Liberty St Brockton MA 02301-5521
Phone: (508) 894-0400
Fax: (508) 894-0459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 220859 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MT189574 Pennsylvania

Profile Details

NPI number 1265697171
LBN Legal business name Georgakis, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Sep 20th, 2013 - about 11 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 1265697171 NPPES
Massachusetts MEDICAID 110083043A

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