Provider Demographics
NPI:1023612041
Name:KATSAROS, DIONISIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DIONISIA
Middle Name:
Last Name:KATSAROS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 LINDEN PONDS WAY
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-8700
Mailing Address - Country:US
Mailing Address - Phone:781-534-7270
Mailing Address - Fax:781-749-0191
Practice Address - Street 1:203 LINDEN PONDS WAY
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-8700
Practice Address - Country:US
Practice Address - Phone:781-534-7270
Practice Address - Fax:781-749-0191
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH237249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist