Individual
DR. THEODORE ARTHUR CALIANOS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 INDUSTRIAL DR, SUITE 109, MASHPEE, MA 02649-3464
(508) 539-6220
Mailing address
151 WHITMAR RD, COTUIT, MA 02635-2931
(508) 428-3468
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
157231
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-00067
UNITED HEALTH CARE
MA
01
—
15231
TUFTS
MA
01
—
157231
LICENSE
MA
01
—
21303
HARVARD PILGRIM
MA
01
—
B20800901
CIGNA HEALTH
MA
01
—
J1906
MEDICAL LICENSE
TX
01
—
J19118
BC/BS
MA
Enumeration date
04/09/2006
Last updated
01/20/2009
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