Dr. Athos Bousvaros
MD, MPH | Pediatric Gastroenterology | Male
Dr. Athos Bousvaros, MD, MPH is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Athos Bousvaros is
300 Longwood Ave, Boston, Massachusetts - 02115-5724. He can be contacted on phone at
617-355-2962.
Dr. Athos Bousvaros is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Athos Bousvaros is
1528174885 which was assigned by NPPES on 21 Aug, 2006 and it was last updated on 08 Jul, 2007.
Dr. Athos Bousvaros license number is
58765 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Massachusetts.
Dr. Athos Bousvaros specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Athos Bousvaros basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Dr. Athos Bousvaros |
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| Credential : | MD, MPH |
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| Gender : | Male |
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Business Address:
Dr. Athos Bousvaros address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-2962 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1528174885 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Athos Bousvaros are as mentioned. Primary taxonomy code for Dr. Athos Bousvaros, MD, MPH is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 58765 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Athos Bousvaros such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 3074854 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8 Frances Rd
Lexington, MA, 02421-7512
United States |
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| Phone Number : | 781-623-3956 |
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Business Location:
Patients can refer following map for directions to
Dr. Athos Bousvaros practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.