Organization
AGS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE S STAMATOPOULOS PT (CLINICAL DIRECTOR)
(617) 923-8284
Entity
Organization
Contact information
Practice address
372 MAIN STREET, WATERTOWN, MA 02472
(617) 923-8284
(617) 926-6678
Mailing address
372 MAIN STREET, WATERTOWN, MA 02472
(617) 923-8284
(617) 926-6678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5194
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
.0389153
—
MA
01
—
6811865
UNITED HEALTH CARE
—
01
—
AA27712
HARVARD HC
MA
01
—
V65625
BCBS
MA
Enumeration date
12/18/2006
Last updated
08/22/2020
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