Individual
DR. ATHE MICHAELNOEL TSIBRIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, GRJ 504, BOSTON, MA 02114-2696
(617) 726-3812
(617) 726-7416
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
222739
MA
207RI0200X
Infectious Disease Physician
Primary
222739
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2087600
—
MA
01
—
470152
TUFTS HEALTH PLAN
MA
01
—
J28227
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
09/11/2025
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