Individual
NIKOLAOS STATHATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 FRUIT ST, WANG ACC 730S, BOSTON, MA 02114-2621
(617) 726-3872
(617) 726-5905
Mailing address
15 FRUIT ST, WANG ACC 730S, BOSTON, MA 02114-2621
(617) 726-3872
(617) 726-5905
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
242408
MA
Other
Enumeration date
10/22/2009
Last updated
03/14/2011
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