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Individual

EVANGELOS MESSARIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D

Contact information

Practice address
330 BROOKLINE AVE # 6, BOSTON, MA 02215
(617) 667-4159
Mailing address
330 BROOKLINE AVE # 6, BOSTON, MA 02215-5400
(617) 667-4159

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
276936
MA
208C00000X
Colon & Rectal Surgery Physician
MD440587
PA
208C00000X
Colon & Rectal Surgery Physician
MT197896
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102617610
PA
Enumeration date
04/24/2007
Last updated
09/05/2018
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