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Individual

DR. NICHOLAS STAMOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
104 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8623
(781) 641-4482
(781) 641-4483
Mailing address
12 MAGNOLIA TER, STONEHAM, MA 02180-3070
(781) 367-2157
(781) 641-4483

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1830
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001830
TUFTS HEALTH CARE
MA
01
0024225
NEIGHBORHOOD HEALTH PLAN
MA
05
1612948
MA
01
2276060
AETNA
MA
01
351956
HARVARDPILGRIM HEALTHCARE
MA
01
44-00106
UNITED HEALTH CARE
MA
01
Y36403
BLUECROSS BLUESHIELD
MA
Enumeration date
01/04/2007
Last updated
08/10/2011
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