Christopher Thomas Ducko
Cardiothoracic Vascular Surgeon
75 Francis St
Boston
, Massachusetts 02115-6110
Christopher Thomas Ducko
Cardiothoracic Vascular Surgeon
75 Francis St
Boston
, Massachusetts 02115-6110
(857) 307-0896
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Christopher Thomas Ducko
- 111 Cypress St
- Brookline, MA
- Zip : 02445-6002
- Phone : (857) 307-0896
Second Address
- Christopher Thomas Ducko
- 75 Francis St
- Boston, MA
- Zip : 02115-6110
- Fax : (617) 566-3441
- Phone : (617) 732-6824
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 221301 | MA |
National Provider Identifier
| NPI | 1063409126 |
|---|---|
| Provider Name | Christopher Thomas Ducko |
| First Address | Brookline, MA 02445-6002 |
| Second Address | Boston, MA 02115-6110 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 13/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2074401 | (05) | MA |
| I10897 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.