Basic Information
| Provider Information | |||||||||
| NPI: | 1891134797 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLIAKOS | ||||||||
| FirstName: | GEORGIA | ||||||||
| MiddleName: | VARVARELIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 783311 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191783311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848844500 | ||||||||
| FaxNumber: | 4848840699 | ||||||||
| Practice Location | |||||||||
| Address1: | 840 WALNUT ST | ||||||||
| Address2: | |||||||||
| City: | CATASAUQUA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180321018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102663060 | ||||||||
| FaxNumber: | 6102663062 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2013 | ||||||||
| LastUpdateDate: | 08/24/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OT015495 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | OS018313 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.