Individual
WILLIAM J COUKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 NEVINS ST, SUITE 503, BRIGHTON, MA 02135-3514
(617) 782-1200
(617) 782-1521
Mailing address
340 MAIN ST, SUITE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
57264
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045765
—
MA
Enumeration date
08/15/2005
Last updated
07/08/2007
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