Individual
MR. GEORGE S STAMATOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
—
684865
UNITED HEALTH CARE
MA
01
—
AA27712
HARVARD PILGRIM H CARE
MA
Enumeration date
11/07/2006
Last updated
07/08/2007
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