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Individual

DR. ANGELO GIOLEKAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
488 PLEASANT ST, WORCESTER, MA 01609-1857
(508) 752-7334
(508) 752-8469
Mailing address
488 PLEASANT ST, WORCESTER, MA 01609-1857
(508) 752-7334
(508) 752-8469

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH2228
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11456131
CAQH
MA
01
Y36558
BLUE CROSS/BLUE SHIELD INDIVIDUAL LEGACY
MA
01
Y39517
BLUE CROSS/BLUE SHIELD GROUP LEGACY
MA
Enumeration date
10/01/2006
Last updated
08/11/2016
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