Provider Demographics
NPI:1174556120
Name:SPENTZOS, DIMITRIOS (MD)
Entity type:Individual
Prefix:
First Name:DIMITRIOS
Middle Name:
Last Name:SPENTZOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WARWICK RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2840
Mailing Address - Country:US
Mailing Address - Phone:617-667-1910
Mailing Address - Fax:617-667-8030
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-3144
Practice Address - Fax:617-634-1894
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA161220207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology