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Individual

NIKOLAOS KAKOUROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSC, MBBS, MRCP, PHD

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3452
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
253095
MA
207RI0011X
Interventional Cardiology Physician
Primary
253095
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110093765A
MA
Enumeration date
05/18/2010
Last updated
11/04/2020
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