Individual
DR. MICHAEL ANDREW THRASIVOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 NEVINS ST STE 430, BRIGHTON, MA 02135-3514
(617) 789-2102
(617) 789-3477
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1023366
MA
Other
Enumeration date
06/09/2021
Last updated
05/29/2025
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