Individual
IOANNIS P GLAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 NEWBURY ST, BOSTON, MA 02116-2935
(617) 725-1921
(866) 365-1847
Mailing address
115 NEWBURY ST FL 5, BOSTON, MA 02116-2935
(617) 725-1921
(866) 365-1847
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
207834
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033970
NHP NEIGHBORHOOD HEALTH
MA
01
—
0801592
UNITED HEALTHCARE
MA
05
—
2071045
—
MA
01
—
3561734
AETNA/US HEALTHCARE
MA
01
—
469615
TUFTS HEALTH
MA
01
—
AA16977
HARVARD PILGRIM
MA
01
—
CE5062
RAILROAD MEDICARE
—
01
—
J27979
BC/BS
MA
Enumeration date
08/26/2005
Last updated
03/05/2022
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