Individual
DR. PANAGIOTIS CONSTANTINE VOUKYDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 MOUNT AUBURN ST, SUITE 303, CAMBRIDGE, MA 02138-5600
(617) 868-5350
(617) 868-1108
Mailing address
29 ABBOTTSFORD RD, BROOKLINE, MA 02446-6705
(617) 232-1552
(617) 232-5401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
34735
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
34735
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034735
TUFTS HEALTH PLAN
MA
05
—
2081954
—
MA
01
—
3264
HPHC
MA
Enumeration date
06/03/2006
Last updated
12/08/2010
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