Individual
GEORGE TELLIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
28 FAIRGROUND RD, WOODBRIDGE, CT 06525-1535
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
032245
CT
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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