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Contact Information

NICHOLAS M ELISSEOU, MD
736 CAMBRIDGE ST
BOSTON, MA02135-2907
 Phone: 617-779-6500
 Fax: 617-779-6557
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NICHOLAS M ELISSEOU · (Male)

NPI Number 1386806867
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2008
Last updated 02/26/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 281430
Hospital affiliation(s)
  • CARNEY HOSPITAL - (Acute Care)
    2100 DORCHESTER AVENUE
    BOSTON, MA 02124
  • NASHOBA VALLEY MEDICAL CENTER - (Acute Care)
    200 GROTON ROAD
    AYER, MA 01432
  • ST ELIZABETH'S MEDICAL CENTER - (Acute Care)
    736 CAMBRIDGE STREET
    BRIGHTON, MA 02135
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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