Doctor Name: | ELENI RETHIMIOTAKIS |
NPI Number: | 1255307211 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 151026 |
Business Practice Address: | 370 Faunce Corner Rd North Dartmouth, MA - 027471271 |
Business Phone Number: | 5089995666 |
Business Fax Number: | 5089855097 |
Mailing Address: | 200 Mill Rd, Suite 300 FAIRHAVEN |
State: | MA |
Postal Code: | 027195252 |
Phone Number: | 5089855035 |
Fax Number: | 5089855038 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 11/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 151026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |