Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 34735 | MA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 34735 | MA |
NPI | 1144268822 |
---|---|
Provider Name | Dr. Panagiotis Constantine Voukydis |
First Address | Brookline, MA 02446-6705 |
Second Address | Cambridge, MA 02138-5600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 08/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
034735 | TUFTS HEALTH PLAN (01) | MA |
2081954 | (05) | MA |
3264 | HPHC (01) | MA |
B75845 | (02) | MA |