Individual
DR. GEORGE V ANTONOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1625 STRAITS TURNPIKE, SUITE 209, MIDDLEBURY, CT 06762
(203) 758-9100
Mailing address
1625 STRAITS TURNPIKE, SUITE 209, MIDDLEBURY, CT 06762
(203) 758-9100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
042450
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001424506
—
CT
Enumeration date
12/05/2006
Last updated
07/14/2009
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