Individual
DR. IOANNIS KOULOURIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(781) 898-8652
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
MA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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