Individual
CONSTANTINE MICHAEL POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 554-3885
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
76785
CT
Other
Enumeration date
03/28/2017
Last updated
03/28/2024
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