Individual
MRS. ATHANASIA TRIANTAFYLLOU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
15 PROSPECT ST, NASHUA, NH 03060
(603) 889-6147
(603) 594-9649
Mailing address
10 PARK ST, WINDHAM, NH 03087
(603) 434-9589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770GG43Y0NH01
BCBS
NH
Enumeration date
10/14/2005
Last updated
07/08/2007
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