Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 208670 | MA |
NPI | 1013903673 |
---|---|
Provider Name | Orfeas Liangos |
First Address | Boston, MA 02135-2907 |
Second Address | Boston, MA 02135-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 25/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2152188 | (05) | MA |
I32938 | (02) |