Individual
OURANIA G. MADIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5400
Mailing address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5400
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
40594
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004399
NEIGHBORHOOD HEALTH PLAN
MA
01
—
706942
TUFTS HEALTH PLAN
MA
01
—
C04767
BLUE CROSS
MA
Enumeration date
05/27/2006
Last updated
02/18/2021
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