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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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