Individual
CONSTANTINOS A CONSTANTINOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 UNION ST, VERNON ROCKVILLE, CT 06066-3131
(860) 870-1300
(860) 870-1306
Mailing address
94 UNION ST, VERNON ROCKVILLE, CT 06066-3131
(860) 870-1300
(860) 870-1306
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
043819
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
240098
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001438193
—
CT
Enumeration date
05/01/2006
Last updated
07/21/2022
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