Individual
KONSTANTINO A AVRADOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 SOUTH ST, SOUTHBRIDGE, MA 01550-4000
(508) 764-6966
(508) 764-2457
Mailing address
94 SOUTH ST, SOUTHBRIDGE, MA 01550-4000
(508) 764-6966
(508) 764-2457
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
204941
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
HEALTHCARE VALUE MANAGMEN
—
01
—
3207048
HEALTHY START
—
05
—
3207048
—
MA
01
—
3700043
EVERCARE
—
01
—
45865
FALLON COMMUNITY HEALTH P
—
01
—
45955
CHILDRENS MEDICAL SECURIT
—
01
—
5605292
AETNA US HEALTHCARE
—
01
—
783988
MVP HEALTH CARE
—
01
—
8052669
CIGNA HEALTH PLAN
—
01
—
935195
FIRST HEALTH
—
01
—
A30735
MEDICARE B
—
01
—
AA8132
HARVARD PILGRIM HEALTHCAR
—
01
—
J22103
BLUE SHIELD INDEMNITY
—
Enumeration date
03/15/2006
Last updated
04/11/2012
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