NPI 1124403209 · live from the CMS NPI Registry
Ioannis Mastoris, MD
Internal Medicine, Advanced Heart Failure and Transplant Cardiology in Boston, MA. National Provider Identifier 1124403209, active.
NPI record
| NPI | 1124403209 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Advanced Heart Failure and Transplant Cardiology 207RA0001X |
| Practice location | 55 Fruit St, Grb 800, Boston, MA 02114 |
| Practice phone | 617-643-7972 |
| Mailing address | Po Box 9142, Charlestown, MA 02129 |
| Enumerated | July 30, 2015 |
| Last updated | May 1, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 23750 (NH) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 291827 (MA) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 23750 (NH) |
| Internal Medicine, Advanced Heart Failure and Transplant Cardiology primary | 207RA0001X | 291827 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.