Individual
DR. PETER THEODORE MASIAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WRN 11 PEDIATRIC SURGERY, BOSTON, MA 02114-2696
(617) 726-8839
(617) 726-2167
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8839
(617) 726-2167
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
216940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065673
—
MA
01
—
469284
TUFTS HEALTH PLAN
MA
01
—
J27581
BCBS MA
MA
Enumeration date
12/06/2005
Last updated
11/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us