Provider Demographics
NPI:1164481743
Name:KASTRINAKIS, WILLIAM VASILOS (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:VASILOS
Last Name:KASTRINAKIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:104 ENDICOTT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3623
Mailing Address - Country:US
Mailing Address - Phone:978-882-6868
Mailing Address - Fax:978-882-6828
Practice Address - Street 1:104 ENDICOTT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3623
Practice Address - Country:US
Practice Address - Phone:978-882-6868
Practice Address - Fax:978-882-6828
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA75212208600000X, 2086S0102X, 2086S0120X, 2086S0127X, 2086X0206X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KAJ12354OtherBCBS
MA042530297OtherCOMMERICAL
MA3104354Medicaid
MA075212OtherTUFTS
075212OtherTUFFS
MAKAJ12354OtherBLUE CROSS BLUE SHIELD
MAJ12354Medicare ID - Type Unspecified
J12354Medicare PIN
075212OtherTUFFS