| Spiros Mitsopoulos, Md, Pllc | |
|
445 Cypress St Unit 9 Manchester NH 03103-3600 | |
| (603) 663-8230 | |
| (603) 663-8239 |
| Full Name | Spiros Mitsopoulos, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 445 Cypress St, Manchester, New Hampshire |
| Authorized Official Name and Position | Spiros Mitsopoulos (PHYSICIAN OWNER) |
| Authorized Official Contact | 6036638230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spiros Mitsopoulos, Md, Pllc 445 Cypress St Unit 9 Manchester NH 03103-3600 Ph: (603) 663-8230 | Spiros Mitsopoulos, Md, Pllc 445 Cypress St Unit 9 Manchester NH 03103-3600 Ph: (603) 663-8230 |
| NPI Number | 1891130845 |
|---|---|
| Provider Enumeration Date | 05/03/2013 |
| Last Update Date | 09/24/2014 |
| Medicare PECOS PAC ID | 2163665589 |
|---|---|
| Medicare Enrollment ID | O20130903000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891130845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7454 (New Hampshire) | Primary |
| Provider Name | Spiros Mitsopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720034390 PECOS PAC ID: 8022069467 Enrollment ID: I20050203000107 |
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Granite State Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Tarrytown Rd, Granite State Medical Center, Manchester, NH 03103 Phone: 603-626-5113 Fax: 603-622-5298 | |
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