Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY P DECONCILIIS, P.A.-C
Active Sole ProprietorGREGORY P DECONCILIIS, P.A.-C is a Surgical Physician Assistant healthcare provider located in WALTHAM, Massachusetts. NPI 1366658502 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WALTHAM, MA
Registration Details
- NPI Number
- 1366658502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.281735337275 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1250 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
840 WINTER ST.BOSTON OUT-PATIENT SURGICAL SUITES, LLCWALTHAM, MA, 02451Browse MA providers · Browse ZIP 02451
- Phone
- 7818954908
- Fax
- 7818954902
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WALTHAM, MA
| Name | Credential | NPI |
|---|---|---|
| MR. LAMPROS A MINOS | PA-C | 1396892097 |
| ALLAN TERRILL POTTS | PA-C | 1215626791 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.