| Constantine Michael Poulos, MD | |
|
24 Hospital Ave, Danbury, CT 06810-6099 | |
| (203) 554-3885 | |
| Not Available |
| Full Name | Constantine Michael Poulos |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 24 Hospital Ave, Danbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043742356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 76785 (Connecticut) | Primary |
| Entity Name | Nuvance Health Medical Practice Ct Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Constantine Michael Poulos, MD 24 Hospital Ave, Danbury, CT 06810-6099 Ph: () - | Constantine Michael Poulos, MD 24 Hospital Ave, Danbury, CT 06810-6099 Ph: (203) 554-3885 |
Dr. Mohir H Hedeshian, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000 | |
Richard J Kaplon, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 111 Osborne St Ste 131, Danbury, CT 06810 Phone: 203-739-6950 |