Active NPIIndividual provider

Serge D Botsaris, MD

Psychiatry & Neurology, Psychiatry in Worcester, Massachusetts

NPI Number1679528095
Practice location
100 Century Dr, Worcester, MA 01606-1244
Fax
774-701-0950
Last updated
December 29, 2020

Serge D Botsaris is a Psychiatry & Neurology, Psychiatry based in Worcester, MA. Serge D Botsaris practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Serge D Botsaris is 1679528095 and holds a License No. 78476 (MA). The current practice location address for Serge D Botsaris is 100 Century Dr, Worcester, MA 01606-1244 and can be reached out via phone at 844-319-0000 and via fax at 774-701-0950.

Provider Profile Details

NPI Number
1679528095
Provider Name
Serge D Botsaris
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Century Dr, Worcester, MA 01606-1244
Phone Number
844-319-0000
Fax Number
774-701-0950
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2006
Last Update Date
December 29, 2020
Certification Date
December 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Century Dr
Worcester, MA 01606-1244
Zip
01606-1244
Phone Number
844-319-0000
Fax Number
774-701-0950
Worcester, MA 01606Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348

License Information

License Number
78476
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Serge D Botsaris, MD?

The NPI number of Serge D Botsaris, MD is 1679528095. It was assigned on May 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Serge D Botsaris, MD?

Serge D Botsaris, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 78476.

Where does Serge D Botsaris, MD practice?

The practice location is 100 Century Dr, Worcester, MA 01606-1244. The office can be reached at 844-319-0000 (phone) or 774-701-0950 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679528095 directly on the NPPES registry website.

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