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Individual

DR. GEORGE KROUMPOUZOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
541 MAIN ST, SUITE 320, SOUTH WEYMOUTH, MA 02190-1845
(781) 812-1078
(781) 812-2748
Mailing address
541 MAIN ST, SUITE 320, SOUTH WEYMOUTH, MA 02190-1845
(781) 812-1078
(781) 812-2748

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
159743
MA
207N00000X
Dermatology Physician
MD11668
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0021305
NEIGHBORHOOD HLTH PLAN
MA
01
042297845
HCVM
MA
01
159743
TUFTS
MA
01
310361
CIGNA
MA
05
3209024
MA
01
501224
HVD PILGRIM HEALTH CARE
MA
01
64769
FALLON
MA
01
7430154
AETNA
MA
01
J22231
BCBS
MA
Enumeration date
11/15/2005
Last updated
09/26/2014
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