NPI 1699772962

Petros Tsipouras, MD

Practitioner Clinical Cytogenetics Physician West Hartford, CT

Practice location

Address: 65 Kane St, West Hartford, CT 06119-2110
Phone: (860) 523-6464
Fax: (860) 523-6465
Mailing address: 263 Farmington Ave Provider Enrollment, Farmington, CT 06030-2212

Registered specialties

Clinical Cytogenetics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SC0300X Licence 027923 (CT)

Other Medical Genetics providers in Connecticut →

Registry record

NPI: 1699772962
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2005
Record last updated: 15 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.