Individual
NICHOLAS TSITSILIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-6606
(508) 334-9762
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1020916
MA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1020916
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2019
Last updated
01/28/2025
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