Individual
VASILIOS CHRISOSTOMIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
604 MAIN ST, SHREWSBURY, MA 01545-5663
(508) 842-6502
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
217052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2082616
—
MA
Enumeration date
12/19/2005
Last updated
05/02/2022
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