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Contact Information

PETROS TSIPOURAS, MD
65 KANE ST
WEST HARTFORD, CT06119-2110
 Phone: 860-523-6464
 Fax: 860-523-6465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cytogenetics

207SC0300X
Indicates primary specialty

NPI Profile & details for PETROS TSIPOURAS · (Male)

NPI # 1699772962
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2005
Last updated 06/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 027923
  • CT Medicaid 1279231
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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