Individual
DR. DEMETRIOS VAVVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PHD
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-5589
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-5589
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
216838
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009820
—
MA
Enumeration date
12/06/2005
Last updated
04/17/2009
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