Petros, James G

Petros, James G is an individual health care provider with primary practice located at 830 Harrison Avenue Moakley Suite 2100, Boston MA 02118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Petros, James G can be contacted via phone (617) 414-8054.

Contact Information

Primary practice address
830 Harrison Avenue Moakley Suite 2100 Boston MA 02118
Phone: (617) 414-8054
Fax: (617) 414-8055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 48543 Massachusetts
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 48543 Massachusetts

Profile Details

NPI number 1457313009
LBN Legal business name Petros, James G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 29th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457313009 NPPES
Massachusetts MEDICAID 110053342A

Popular Providers