Individual
DR. GUS J VLAHAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, COX652, BOSTON, MA 02114
(617) 726-1861
(617) 726-5804
Mailing address
55 FRUIT ST, COX630, BOSTON, MA 02114-2621
(617) 726-1861
(617) 726-5804
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
50794
MA
2086S0102X
Surgical Critical Care Physician
50794
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
50794
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005542
—
MA
01
—
705249
TUFTS HEALTH PLAN
MA
01
—
J05165
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
01/21/2014
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