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Individual

DR. IGNATIUS KOMNINAKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 TRAP FALLS RD STE 404, SHELTON, CT 06484-7622
(203) 734-7900
(203) 513-3269
Mailing address
2 TRAP FALLS RD STE 404, SHELTON, CT 06484-7622
(203) 734-7900
(203) 513-3269

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
037665
CT
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
037655
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001376658
CT
Enumeration date
06/30/2005
Last updated
01/16/2019
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