Individual
DR. COSMAS CHRIS GIALLOURAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST BLK4, GASTROENTEROLOGY ASSOCIATES, BOSTON, MA 02114-2696
(617) 724-6113
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-2026
(617) 724-6832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209147
MA
207RG0100X
Gastroenterology Physician
Primary
209147
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111900
—
MA
01
—
478876
TUFTS HEALTH PLAN
MA
01
—
J29715
BCBS MA
MA
Enumeration date
08/19/2006
Last updated
12/14/2012
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