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Contact Information

OTHON ILIOPOULOS, MD
100 BLOSSOM STREET
YAW 7 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA02114-2617
 Phone: 617-724-3404
 Fax: 617-726-8623
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OTHON ILIOPOULOS · (Male)

NPI # 1447352448
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2006
Last updated 12/18/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 76267
  • MA Medicaid 0117749
  • MA Other J12656 BCBS MA
  • MA Other 076267 TUFTS HEALTH PLAN
Hospital affiliation(s)
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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