Provider Demographics
NPI:1881641512
Name:TRITOS, NICHOLAS A (MD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:A
Last Name:TRITOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ZERO EMERSON PLACE
Mailing Address - Street 2:SUITE 112 MASSACHUSETTS GENERAL HOSPITAL - NEUROENDOCRI
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114
Mailing Address - Country:US
Mailing Address - Phone:617-726-7948
Mailing Address - Fax:617-726-1241
Practice Address - Street 1:ZERO EMERSON PLACE
Practice Address - Street 2:SUITE 112 MASSACHUSETTS GENERAL HOSPITAL - NEUROENDOCRI
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-7948
Practice Address - Fax:617-726-1241
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA80812207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism