Provider Demographics
NPI:1235658410
Name:STRATIGOS, ALEXANDROS
Entity type:Individual
Prefix:PROF
First Name:ALEXANDROS
Middle Name:
Last Name:STRATIGOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 VOUCOURESTIOU STREET
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GREECE
Mailing Address - Zip Code:10671
Mailing Address - Country:GR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28 VOUCOURESTIOU STREET
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GREECE
Practice Address - Zip Code:10671
Practice Address - Country:GR
Practice Address - Phone:697-412-8577
Practice Address - Fax:697-412-8577
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA154272207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$OtherNON USA