Provider Demographics
NPI:1851587281
Name:VLAHOKOSTA, FRIDERIKI V (MD)
Entity Type:Individual
Prefix:
First Name:FRIDERIKI
Middle Name:V
Last Name:VLAHOKOSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 470707
Mailing Address - Street 2:BROOKLINE VILLAGE
Mailing Address - City:BROOKLINE VILLAGE
Mailing Address - State:MA
Mailing Address - Zip Code:02447-0707
Mailing Address - Country:US
Mailing Address - Phone:617-971-9736
Mailing Address - Fax:
Practice Address - Street 1:111 PERKINS STREET
Practice Address - Street 2:BROOKLINE VILLAGE
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02447
Practice Address - Country:US
Practice Address - Phone:617-971-9736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50548207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism