# OAK NORTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649682485
- **Authorized official:** DR. CONSTANTINOS CONSTANTINOU MD (MANAGER)
- **Authorized official phone:** (914) 450-4038

## Contact information

- **Practice address:** 773 MAIN ST, MANCHESTER, CT 06040-5102
- **Practice address phone:** (860) 870-1300
- **Practice address fax:** (860) 870-1306
- **Mailing address:** 773 MAIN ST, MANCHESTER, CT 06040-5102
- **Mailing address phone:** (914) 450-4038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 043819 | CT | Yes |

## Other

- **Enumeration date:** 05/28/2014
- **Last updated:** 12/05/2022