Individual
IPHIGENIA A. BALODIMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3050
(508) 460-3226
Mailing address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3050
(508) 460-3226
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
150076
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3158331
—
MA
Enumeration date
07/10/2006
Last updated
05/10/2011
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