Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL HERCULES THEODOULOU, D.P.M.
ActiveDR. MICHAEL HERCULES THEODOULOU, D.P.M. is a Podiatrist healthcare provider located in SOMERVILLE, Massachusetts. NPI 1760430755 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · SOMERVILLE, MA
Registration Details
- NPI Number
- 1760430755
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.254128466089 yrs)
- Last Updated
- Dec 8, 2011
- Licenses
-
PO558 (DC)01073 (MD)2358 (MA)
Practice Information
- Address
-
230 HIGHLAND AVESOMERVILLE, MA, 021431408Browse MA providers · Browse ZIP 02143
- Phone
- 6176651000
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Podiatrist
Other Podiatrist Providers in SOMERVILLE, MA
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES WILLIAM CONNOLLY | DPM | 1932105095 |
| BRIAN D TEDESCO | D.P.M. | 1588628853 |
| DR. PASQUALE CANCELLIERE | DPM | 1184860835 |
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.