Rousou, Anthony John
Rousou, Anthony John is an individual health care provider with primary practice located at 2 Medical Center Dr Ste 512 , Springfield MA 01107-1273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Rousou, Anthony John can be contacted via phone (413) 794-5550.Contact Information
Primary practice address
2 Medical Center Dr Ste 512
Springfield MA 01107-1273
Phone: (413) 794-5550
Fax: (413) 794-4212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 213069 | Massachusetts |
Profile Details
| NPI number | 1871777102 |
|---|---|
| LBN Legal business name | Rousou, Anthony John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2007 |
| Last updated | Nov 26th, 2021 - about 4 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 | 1871777102 | NPPES |
| Illinois | MEDICAID | 036123501 | |
| Illinois | MEDICAID | 1871777102 | |
| Illinois | MEDICAID | 201019550B | |
| Illinois | Other | 01618941 |
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