Individual
DR. NICHOLAS THEODOSAKIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
50 STANIFORD ST STE 200, BOSTON, MA 02114-2543
(617) 726-2914
Mailing address
55 FRUIT ST # BH616, BOSTON, MA 02114-2696
(617) 726-2914
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
287040
MA
Other
Enumeration date
06/18/2017
Last updated
08/16/2021
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