Pantazelos, Hytho H
Pantazelos, Hytho H is an individual health care provider with primary practice located at 131 Ornac Ste 510, Concord MA 01742-4162. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Pantazelos, Hytho H can be contacted via phone (978) 369-8777.Contact Information
Primary practice address
131 Ornac Ste 510
Concord MA 01742-4162
Phone: (978) 369-8777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 29312 | Massachusetts |
Profile Details
| NPI number | 1962408765 |
|---|---|
| LBN Legal business name | Pantazelos, Hytho H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1962408765 | NPPES |
| Massachusetts | MEDICAID | 2010321 |
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