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Contact Information

ALEXIA T KOUDELLOU, MD
SIX FIELDSTONE COMMONS
SUITE D
TOLLAND, CT06084
 Phone: 860-871-6710
 Fax: 860-896-4869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for ALEXIA T KOUDELLOU · (Female)

NPI # 1346278066
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 044946
Hospital affiliation(s)
  • MANCHESTER MEMORIAL HOSPITAL - (Acute Care)
    71 HAYNES ST
    MANCHESTER, CT 06040
  • ROCKVILLE GENERAL HOSPITAL - (Acute Care)
    31 UNION ST
    ROCKVILLE, CT 06066
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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