Individual
DR. STEPHANIE GIANOUKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 789-2782
Mailing address
690 CANTON ST., SUITE 325, WESTWOOD, MA 02090-2329
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
252597
MA
208VP0014X
Interventional Pain Medicine Physician
252597
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097035A
—
MA
05
—
3090768
—
NH
01
—
AA324196
HARVARD PILGRIM
—
Enumeration date
12/05/2008
Last updated
11/26/2013
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