Individual
THEODORA TRIANTAFILOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
55 FRUIT ST, CLINICS 144, BOSTON, MA 02114-2621
(617) 726-6875
Mailing address
32 FREDERICK RD, BRAINTREE, MA 02184-7013
(781) 608-9525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233590
MA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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