Provider Demographics
NPI:1861480220
Name:TRAVASSOS, WIN JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:WIN
Middle Name:JOSEPH
Last Name:TRAVASSOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 MEETING HOUSE RD
Mailing Address - Street 2:SUITE 6-8
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2766
Mailing Address - Country:US
Mailing Address - Phone:978-454-9811
Mailing Address - Fax:978-937-9281
Practice Address - Street 1:4 MEETING HOUSE RD
Practice Address - Street 2:SUITE 6-8
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2766
Practice Address - Country:US
Practice Address - Phone:978-454-9811
Practice Address - Fax:978-937-9281
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA212257207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology