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Individual

ARIS D. YANNOPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 CROMWELL AVE STE 404, ROCKY HILL, CT 06067
(860) 525-4469
(860) 278-8032
Mailing address
1111 CROMWELL AVE STE 302, ROCKY HILL, CT 06067-3455
(860) 525-4469
(860) 278-8032

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
030012
CT
207XS0117X
Orthopaedic Surgery of the Spine Physician
030012
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001300128
CT
01
0384440001
DMERC
CT
01
200025355
RAILROAD MEDICARE
Enumeration date
06/08/2006
Last updated
10/26/2021
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