Provider Demographics
NPI:1245277284
Name:CALLIGAS, THRASSOS S (MD)
Entity type:Individual
Prefix:
First Name:THRASSOS
Middle Name:S
Last Name:CALLIGAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:345 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1407
Mailing Address - Country:US
Mailing Address - Phone:617-779-1688
Mailing Address - Fax:
Practice Address - Street 1:30 WARREN ST
Practice Address - Street 2:FRANSCISCAN CHILDREN'S HOSP.
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3602
Practice Address - Country:US
Practice Address - Phone:617-779-1688
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA426452084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry