Individual
IRAKLIS S GEROGIANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 HANOVER ST, SUITE 2A, FALL RIVER, MA 02720-5444
(508) 973-7774
(508) 973-7724
Mailing address
200 MILL RD, STE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
161025
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD15652
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110061754A
—
MA
Enumeration date
09/28/2006
Last updated
11/08/2024
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