Individual
PANOS ALEXIS STATHOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 YORK STREET, NEUROLOGY DPT, YALE, NEW HAVEN, CT 06520-8018
(203) 688-4242
Mailing address
15 YORK STREET, NEUROLOGY DPT, YALE, P.O. BOX 208018, NEW HAVEN, CT 06520-8018
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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