Individual
DR. FOTIOS KOUMPOURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
6 DEVINE ST, SUITE 2B, NORTH HAVEN, CT 06473-2195
(203) 737-5430
(203) 785-7053
Mailing address
6 DEVINE ST, SUITE 2B, NORTH HAVEN, CT 06473-2195
(203) 737-5430
(203) 785-7053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230675
NY
207RR0500X
Rheumatology Physician
Primary
042299
CT
207RR0500X
Rheumatology Physician
MD431644
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019099240003
—
PA
Enumeration date
06/17/2006
Last updated
06/30/2015
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