Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 270980 | MA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 270980 | MA |
NPI | 1215389879 |
---|---|
Provider Name | Nikolaos Paschos |
First Address | Boston, MA 02114-2743 |
Second Address | Boston, MA 02114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2016 |
Last Update Date | 03/07/2019 |