Organization
THEODORE A CALIANOS II MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE ARTHUR CALIANOS II MD (OWNER)
(508) 539-6249
Entity
Organization
Contact information
Practice address
5 INDUSTRIAL DR, SUITE 109, MASHPEE, MA 02649
(508) 539-6249
(508) 539-6223
Mailing address
5 INDUSTRIAL DR, SUITE 109, MASHPEE, MA 02649
(508) 539-6249
(508) 539-6223
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
157231
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300067
UNITED HEALTH CARE
MA
01
—
1528021813
NPI 1
MA
01
—
157231
TUFTS
MA
01
—
21303
HARVARD PILGRIM HEALTHCAR
MA
01
—
J19118
BLUS CROSS
MA
Enumeration date
06/05/2007
Last updated
08/22/2020
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