Iliopoulos, Othon
Iliopoulos, Othon is an individual health care provider with primary practice located at 100 Blossom Street Yaw 7 Massachusetts General Hospital, Boston MA 02114-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Iliopoulos, Othon can be contacted via phone (617) 724-3404.Contact Information
Primary practice address
100 Blossom Street Yaw 7 Massachusetts General Hospital
Boston MA 02114-2617
Phone: (617) 724-3404
Fax: (617) 726-8623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 76267 | Massachusetts |
Profile Details
| NPI number | 1447352448 |
|---|---|
| LBN Legal business name | Iliopoulos, Othon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Dec 18th, 2012 - about 12 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 | 1447352448 | NPPES |
| Massachusetts | Other | 076267 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J12656 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 0117749 | TUFTS HEALTH PLAN |
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