Organization
GENE PRAXIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETROS TSIPOURAS M.D. (CEO)
(203) 208-0594
Entity
Organization
Contact information
Practice address
36 E INDUSTRIAL RD, BRANFORD, CT 06405-6533
(203) 208-0594
Mailing address
36 E INDUSTRIAL RD, BRANFORD, CT 06405-6533
(203) 208-0594
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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