Individual
DR. ANDREW TZELLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1141 PEAR TREE LN STE 100, NAPA, CA 94558-6485
(707) 254-1770
Mailing address
1 GOLD ST APT 5G, HARTFORD, CT 06103-2930
(917) 885-9048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
236059
NY
207R00000X
Internal Medicine Physician
052165
CT
207R00000X
Internal Medicine Physician
Primary
C183605
CA
261QM1300X
Multi-Specialty Clinic/Center
236059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008045654
—
CT
Enumeration date
10/16/2006
Last updated
11/27/2023
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