Individual
DR. EUGENE C CONSTANTINOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 WILLARD AVE, DEPT OF VETERANS AFFAIRS, NEWINGTON, CT 06111-2631
(866) 808-7921
(860) 667-6875
Mailing address
555 WILLARD AVE, DEPT OF VETERANS AFFAIRS, NEWINGTON, CT 06111-2631
(866) 808-7921
(860) 667-6875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039689
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001396896
—
CT
Enumeration date
06/01/2005
Last updated
06/06/2014
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