Glavas, Ioannis P

Glavas, Ioannis P is an individual health care provider with primary practice located at 115 Newbury St , Boston MA 02116-2935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Glavas, Ioannis P can be contacted via phone (617) 725-1921.

Contact Information

Primary practice address
115 Newbury St Boston MA 02116-2935
Phone: (617) 725-1921
Fax: (866) 365-1847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 207834 Massachusetts

Profile Details

NPI number 1093708778
LBN Legal business name Glavas, Ioannis P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Mar 5th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093708778 NPPES
Massachusetts Other 3561734 AETNA/US HEALTHCARE
Massachusetts Other AA16977 AETNA/US HEALTHCARE
Massachusetts Other J27979 AETNA/US HEALTHCARE
Massachusetts Other 469615 AETNA/US HEALTHCARE
Massachusetts Other CE5062 AETNA/US HEALTHCARE
Massachusetts Other 0033970 AETNA/US HEALTHCARE
Massachusetts Other 0801592 AETNA/US HEALTHCARE
Massachusetts MEDICAID 2071045 AETNA/US HEALTHCARE

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