Individual
DR. GEORGE P KACOYANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 CUMMINGS CTR, STE 1800, BEVERLY, MA 01915-6141
(978) 821-2922
(978) 921-1534
Mailing address
35 UNITED DR, STE 102, W BRIDGEWATER, MA 02379-1027
(508) 238-8646
(508) 230-9772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46099
MA
2086S0129X
Vascular Surgery Physician
46099
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142786
—
MA
Enumeration date
10/02/2006
Last updated
09/27/2017
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