Individual
SPIROS MITSOPOULOS
Active
Individual
SPIROS MITSOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7454
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102690YPNH01
ANTHEM
NH
Enumeration date
05/25/2006
Last updated
09/23/2014
Update your record
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