Provider Demographics
NPI:1124292693
Name:BOUSSIOS, HELEN (MD, MSPH)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:BOUSSIOS
Suffix:
Gender:F
Credentials:MD, MSPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3643 N ROXBORO ST
Mailing Address - Street 2:HOSPITAL MEDICINE, DUKE REGIONAL HOSPITAL
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2702
Mailing Address - Country:US
Mailing Address - Phone:919-470-8490
Mailing Address - Fax:919-470-8469
Practice Address - Street 1:3643 N ROXBORO ST
Practice Address - Street 2:HOSPITAL MEDICINE, DUKE REGIONAL HOSPITAL
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2702
Practice Address - Country:US
Practice Address - Phone:919-470-8490
Practice Address - Fax:919-470-8469
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC128346207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics