Kantas, Spyridon

Kantas, Spyridon is an individual health care provider with primary practice located at 63 Park Street , Andover MA 01810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Kantas, Spyridon can be contacted via phone (978) 409-1137.

Contact Information

Primary practice address
63 Park Street Andover MA 01810
Fax: (978) 409-1906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 216696 Massachusetts

Profile Details

NPI number 1154317089
LBN Legal business name Kantas, Spyridon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jun 21st, 2016 - about 8 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 1154317089 NPPES
Massachusetts MEDICAID 2084520

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