Individual
MR. JOHN PETROS DOUZEPIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
602 BROADWAY, EVERETT, MA 02149-3743
(617) 389-7211
(617) 389-7225
Mailing address
405 PEARL STREET, NORTH SUBURBAN ORTHOPEDIC ASSOCIATES INC, MALDEN, MA 02148
(781) 321-8785
(781) 321-8063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10453
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000Y61011
BCBS GROUP
—
01
—
612930
TUFTS GROUP
—
01
—
613542
HARVARD PILGRIM GROUP
—
01
—
Y68318
BCBS INDIV
—
Enumeration date
08/31/2006
Last updated
09/20/2011
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