Individual
NIKOLAOS PASCHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
175 CAMBRIDGE ST, BOSTON, MA 02114
(617) 643-0824
Mailing address
175 CAMBRIDGE ST, BOSTON, MA 02114-2743
(617) 643-0824
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
270980
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
270980
MA
390200000X
Student in an Organized Health Care Education/Training Program
MT211720
PA
Other
Enumeration date
07/07/2016
Last updated
07/03/2019
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