Individual
DR. DEMOSTHENES AGIOMAVRITIS
Active
Individual
DR. DEMOSTHENES AGIOMAVRITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47165
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202787175
CHAMPUS
MA
05
—
2078767
—
MA
01
—
26373
FALLON
MA
01
—
61250
HARVARD PILGRIM
MA
01
—
701827
TUFTS
MA
05
—
9751530
—
MA
01
—
999969
NETWORK HEALTH
MA
01
—
M18983
BLUE CROSS
MA
01
—
N01922
BLUE CROSS
MA
Enumeration date
05/15/2007
Last updated
11/02/2020
Update your record
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