Individual
HYTHO H PANTAZELOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 ORNAC, STE 510, CONCORD, MA 01742-4162
(978) 369-8777
Mailing address
131 ORNAC, STE 510, CONCORD, MA 01742-4162
(978) 369-8777
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
29312
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010321
—
MA
Enumeration date
06/27/2005
Last updated
07/08/2007
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