| Konstantinos Economopoulos, MD, PHD, MENG | |
|
789 Central Ave, Dover, NH 03820-2526 | |
| (603) 749-2266 | |
| Not Available |
| Full Name | Konstantinos Economopoulos |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 789 Central Ave, Dover, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831621499 | NPI | - | NPPES |
| 3148421 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34701 (New Hampshire) | Secondary |
| 208600000X | Surgery | MD20758 (Rhode Island) | Primary |
| 208600000X | Surgery | 1018883 (Massachusetts) | Secondary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Konstantinos Economopoulos, MD, PHD, MENG Po Box 412503, Boston, MA 02241-2503 Ph: (603) 749-2266 | Konstantinos Economopoulos, MD, PHD, MENG 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 749-2266 |
Amanda Mueller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-2266 | |
Ritoban Sen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 301, Dover, NH 03820 Phone: 603-516-4265 | |
Joseph Anthony Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 Central Ave, Suite N, Dover, NH 03820 Phone: 603-749-2266 Fax: 603-749-3019 | |
Patricia A Auty, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-2266 | |
Peter S Hedberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 Central Avenue, Suite N, Dover, NH 03820 Phone: 603-749-2266 Fax: 603-749-3019 | |
Stephen M Gemmett, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Old Rollinsford Rd, Building B, Dover, NH 03820 Phone: 603-516-4265 Fax: 603-740-2173 | |
Derek Brian Wall, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-2266 |